Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $105.07 / $127.75	Facility		$55.47	$105.07	$127.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $64.34	Professional		$55.47	$55.47	$64.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.76 / $58.24 / $176.95	Facility		$50.76	$58.24	$176.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $57.39	Professional		$55.47	$55.47	$57.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $55.47 / $55.47	Facility		$54.14	$55.47	$55.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Professional		$55.47	$55.47	$55.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $60.18 / $63.72	Professional		$55.47	$60.18	$63.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $58.34 / $58.34 / $58.34	Facility		$58.34	$58.34	$58.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Professional		$55.47	$55.47	$55.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $58.80	Professional		$55.47	$55.47	$58.80