Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $99.96 / $139.16	Facility		$52.61	$99.96	$139.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $53.87 / $88.90	Professional		$52.61	$53.87	$88.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $55.46 / $168.50	Facility		$22.60	$55.46	$168.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.60 / $52.82 / $53.87	Professional		$22.60	$52.82	$53.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Facility		$53.87	$53.87	$53.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.87 / $53.87 / $53.87	Professional		$53.87	$53.87	$53.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $43.10 / $50.70	Professional		$43.10	$43.10	$50.70
United Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $52.82 / $52.82	Professional		$52.82	$52.82	$52.82