Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $149.02 / $181.78	Facility		$78.43	$149.02	$181.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $86.04	Professional		$78.93	$78.93	$86.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.22 / $82.88 / $251.79	Facility		$72.22	$82.88	$251.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $78.43 / $78.93	Professional		$78.43	$78.43	$78.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $85.64 / $96.00	Professional		$78.93	$85.64	$96.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $87.40 / $87.40	Facility		$87.40	$87.40	$87.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93