Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.15 / $78.19 / $108.86	Facility		$41.15	$78.19	$108.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $41.15 / $42.14	Professional		$41.15	$41.15	$42.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.78 / $43.38 / $131.78	Facility		$34.78	$43.38	$131.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $41.31 / $42.14	Professional		$34.78	$41.31	$42.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $42.57	Facility		$42.14	$42.14	$42.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $42.14	Professional		$42.14	$42.14	$42.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.14 / $42.14 / $49.58	Professional		$42.14	$42.14	$49.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $47.05 / $47.05	Facility		$47.05	$47.05	$47.05
United Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $41.31 / $41.31	Professional		$37.40	$41.31	$41.31