Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $150.84 / $182.54	Facility		$79.26	$150.84	$182.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $166.68	Professional		$79.26	$79.26	$166.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $83.22 / $252.84	Facility		$72.52	$83.22	$252.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.39	Professional		$79.26	$79.26	$79.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.13 / $79.26 / $79.26	Facility		$77.13	$79.26	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $85.99 / $91.47	Professional		$79.26	$85.99	$91.47
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $85.17 / $85.17 / $85.17	Facility		$85.17	$85.17	$85.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26