Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $148.77 / $23,955.20	Facility		$75.97	$148.77	$23,955.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $79.03 / $104.32	Professional		$75.97	$79.03	$104.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $79.77 / $242.34	Facility		$69.51	$79.77	$242.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $74.86 / $75.97	Professional		$74.86	$74.86	$75.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.52 / $75.97 / $75.97	Facility		$73.52	$75.97	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $76.41 / $87.40	Professional		$75.97	$76.41	$87.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $82.30 / $82.30 / $82.30	Facility		$82.30	$82.30	$82.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97