Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $132.69 / $164.37	Facility		$71.37	$132.69	$164.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $73.51 / $147.47	Professional		$71.37	$73.51	$147.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $74.94 / $89.40	Facility		$71.37	$74.94	$89.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $72.47	Professional		$71.37	$71.37	$72.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $71.37 / $71.37	Facility		$65.31	$71.37	$71.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Professional		$71.37	$71.37	$71.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $77.43 / $93.07	Professional		$77.25	$77.43	$93.07
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $71.97 / $71.97 / $71.97	Facility		$71.97	$71.97	$71.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Professional		$71.37	$71.37	$71.37
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $75.65	Professional		$71.37	$71.37	$75.65