Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $82.25 / $99.47	Facility		$43.19	$82.25	$99.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $113.66	Professional		$43.19	$43.19	$113.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.52 / $45.35 / $137.78	Facility		$39.52	$45.35	$137.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.29	Professional		$43.19	$43.19	$43.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $43.19 / $43.38	Facility		$43.19	$43.19	$43.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $46.86 / $52.02	Professional		$43.19	$46.86	$52.02
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $48.21 / $48.21 / $48.21	Facility		$48.21	$48.21	$48.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
United Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19