Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $98.64 / $116.00	Facility		$50.37	$98.64	$116.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.86 / $126.07	Professional		$50.37	$50.86	$126.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $52.89 / $160.68	Facility		$46.09	$52.89	$160.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $56.09	Professional		$50.37	$50.37	$56.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $50.37 / $60.02	Facility		$50.37	$50.37	$60.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $50.37	Professional		$50.37	$50.37	$50.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $54.64 / $75.51	Professional		$50.36	$54.64	$75.51
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $66.62 / $66.62 / $66.62	Facility		$66.62	$66.62	$66.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $50.36 / $50.36	Professional		$50.36	$50.36	$50.36
United Facility/Professional Professional Modifier Low / Median / High Price $50.37 / $50.37 / $56.07	Professional		$50.37	$50.37	$56.07