Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $105.41 / $126.00	Facility		$54.71	$105.41	$126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $164.56	Professional		$54.71	$54.71	$164.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.06 / $57.45 / $174.52	Facility		$50.06	$57.45	$174.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $55.48	Professional		$54.71	$54.71	$55.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $55.95	Facility		$54.71	$54.71	$55.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $59.35 / $68.76	Professional		$54.71	$59.35	$68.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $61.69 / $61.69 / $61.69	Facility		$61.69	$61.69	$61.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71