Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $130.50 / $153.47	Facility		$66.64	$130.50	$153.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $72.64	Professional		$66.64	$66.64	$72.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $69.97 / $212.58	Facility		$60.98	$69.97	$212.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $71.66	Professional		$66.64	$66.64	$71.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $66.64 / $66.64	Facility		$65.94	$66.64	$66.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $72.30 / $106.79	Professional		$66.64	$72.30	$106.79
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $75.88 / $75.88 / $75.88	Facility		$75.88	$75.88	$75.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Professional		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $74.64	Professional		$66.64	$66.64	$74.64