Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.70 / $116.34 / $53,390.38	Facility		$59.70	$116.34	$53,390.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.40 / $61.81 / $55,018.98	Professional		$59.40	$61.81	$55,018.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $62.38 / $189.52	Facility		$54.36	$62.38	$189.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.70	Professional		$59.41	$59.41	$59.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $59.41 / $59.41	Facility		$58.77	$59.41	$59.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $64.45 / $82.56	Professional		$59.41	$64.45	$82.56
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $66.09 / $66.09	Facility		$66.09	$66.09	$66.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $59.41	Professional		$59.41	$59.41	$59.41
United Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $59.41 / $78.43	Professional		$59.41	$59.41	$78.43