Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.10 / $147.03 / $7,487.14	Facility		$84.10	$147.03	$7,487.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $90.23 / $7,914.59	Professional		$89.34	$90.23	$7,914.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.75 / $93.81 / $284.99	Facility		$81.75	$93.81	$284.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $89.34	Professional		$58.40	$58.40	$89.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $89.34 / $89.34	Facility		$19.98	$89.34	$89.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $641.79	Professional		$89.34	$89.34	$641.79
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $34.42 / $34.42	Facility		$34.42	$34.42	$34.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $99.45	Professional		$89.34	$89.34	$99.45