Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.47 / $98.88 / $120.84	Facility		$52.47	$98.88	$120.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $53.00 / $112.11	Professional		$52.47	$53.00	$112.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $55.09 / $167.38	Facility		$48.01	$55.09	$167.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $54.00	Professional		$52.47	$52.47	$54.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $52.47 / $52.47	Facility		$50.28	$52.47	$52.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Professional		$52.47	$52.47	$52.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $56.93 / $60.73	Professional		$52.47	$56.93	$60.73
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $55.36	Facility		$55.36	$55.36	$55.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $52.47	Professional		$52.47	$52.47	$52.47
United Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $55.62	Professional		$52.47	$52.47	$55.62