Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $78.66 / $97.83	Facility		$41.40	$78.66	$97.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $46.30	Professional		$42.48	$42.48	$46.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $44.60 / $135.51	Facility		$38.86	$44.60	$135.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $41.40 / $42.48	Professional		$41.40	$41.40	$42.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $42.48 / $43.32	Facility		$42.48	$42.48	$43.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $46.08 / $53.37	Professional		$42.48	$46.08	$53.37
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $46.97 / $46.97 / $46.97	Facility		$46.97	$46.97	$46.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $42.48 / $53.37	Professional		$41.40	$42.48	$53.37