Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $75.77 / $91.82	Facility		$39.86	$75.77	$91.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $86.72	Professional		$39.86	$39.86	$86.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $41.86 / $49.94	Facility		$39.86	$41.86	$49.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.88	Professional		$39.86	$39.86	$39.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $39.86 / $39.86	Facility		$38.61	$39.86	$39.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $43.25 / $46.07	Professional		$39.86	$43.25	$46.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $42.77 / $42.77	Facility		$42.77	$42.77	$42.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86
United Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $39.86 / $39.86	Professional		$39.86	$39.86	$39.86