Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $97.68 / $173.29	Facility		$51.41	$97.68	$173.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $79.70 / $86.02	Professional		$78.92	$79.70	$86.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $82.87 / $251.75	Facility		$72.20	$82.87	$251.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.41 / $51.41 / $78.92	Professional		$51.41	$51.41	$78.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $78.92 / $78.92	Facility		$55.91	$78.92	$78.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $122.00	Professional		$78.92	$78.92	$122.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $60.78 / $60.78	Facility		$60.78	$60.78	$60.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $87.85	Professional		$78.92	$78.92	$87.85