Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $108.98 / $6,787.64	Facility		$55.65	$108.98	$6,787.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $102.70	Professional		$55.65	$56.20	$102.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $58.43 / $177.52	Facility		$50.92	$58.43	$177.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $57.17	Professional		$55.65	$55.65	$57.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $55.65 / $55.65	Facility		$51.97	$55.65	$55.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $60.37 / $70.73	Professional		$58.71	$60.37	$70.73
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $54.79 / $54.79 / $54.79	Facility		$54.79	$54.79	$54.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $70.73	Professional		$55.65	$55.65	$70.73