Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $95.88 / $16,126.12	Facility		$48.96	$95.88	$16,126.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.45 / $110.54	Professional		$48.96	$49.45	$110.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.80 / $51.41 / $156.18	Facility		$44.80	$51.41	$156.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $48.03 / $48.96	Professional		$48.03	$48.03	$48.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.96 / $48.96 / $49.01	Facility		$48.96	$48.96	$49.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $53.12 / $89.24	Professional		$48.96	$53.12	$89.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $53.94 / $53.94	Facility		$53.94	$53.94	$53.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $48.96	Professional		$48.96	$48.96	$48.96
United Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $48.96 / $54.84	Professional		$48.96	$48.96	$54.84