Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $66.68 / $78.42	Facility		$34.04	$66.68	$78.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $35.42 / $179.42	Professional		$34.04	$35.42	$179.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $35.75 / $108.62	Facility		$31.16	$35.75	$108.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $36.65	Professional		$34.04	$34.04	$36.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.04 / $44.98	Facility		$34.04	$34.04	$44.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $36.94 / $49.21	Professional		$34.04	$36.94	$49.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $55.23 / $55.23 / $55.23	Facility		$55.23	$55.23	$55.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $34.04	Professional		$34.04	$34.04	$34.04