Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $91.20 / $110.48	Facility		$48.00	$91.20	$110.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.45 / $52.77	Professional		$47.97	$48.45	$52.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.89 / $50.37 / $153.02	Facility		$43.89	$50.37	$153.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $48.00	Professional		$47.97	$47.97	$48.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Facility		$47.97	$47.97	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $45.65 / $55.00 / $62.21	Professional		$45.65	$55.00	$62.21
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $53.49 / $53.49 / $53.49	Facility		$53.49	$53.49	$53.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97
United Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $47.97	Professional		$47.97	$47.97	$47.97