Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $136.55 / $160.59	Facility		$69.73	$136.55	$160.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $86.49	Professional		$69.73	$69.73	$86.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.80 / $73.22 / $222.44	Facility		$63.80	$73.22	$222.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $69.73 / $82.37	Professional		$69.73	$69.73	$82.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.73 / $69.73 / $95.63	Facility		$69.73	$69.73	$95.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $95.63 / $98.75	Professional		$69.73	$95.63	$98.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $75.65 / $126.35	Professional		$69.73	$75.65	$126.35
United Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $69.73 / $69.73	Professional		$45.32	$69.73	$69.73