Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $55.41 / $77.48	Facility		$27.75	$55.41	$77.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $95.29	Professional		$25.46	$25.46	$95.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $26.73 / $81.22	Facility		$23.30	$26.73	$81.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $30.77	Professional		$25.46	$25.46	$30.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $25.46 / $32.86	Facility		$25.46	$25.46	$32.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $27.62 / $44.48	Professional		$25.46	$27.62	$44.48
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $37.95 / $37.95	Facility		$37.95	$37.95	$37.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $25.46	Professional		$25.46	$25.46	$25.46
United Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $25.46 / $41.62	Professional		$25.46	$25.46	$41.62