Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.25 / $118.28 / $164.68	Facility		$62.25	$118.28	$164.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $62.25 / $63.75	Professional		$62.25	$62.25	$63.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $67.64 / $199.38	Facility		$57.19	$67.64	$199.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $63.75 / $63.75	Professional		$62.50	$63.75	$63.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.75 / $63.75 / $171.57	Facility		$63.75	$63.75	$171.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $191.06 / $191.06 / $191.06	Facility		$191.06	$191.06	$191.06
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $62.50	Professional		$62.50	$62.50	$62.50