Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.65 / $133.56 / $157.07	Facility		$71.65	$133.56	$157.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.88 / $172.95	Professional		$68.20	$68.88	$172.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $71.61 / $217.56	Facility		$62.40	$71.61	$217.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $74.34	Professional		$68.20	$68.20	$74.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $68.20 / $168.30	Facility		$68.20	$68.20	$168.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $96.51	Professional		$68.20	$68.20	$96.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $73.98 / $113.40	Professional		$73.98	$73.98	$113.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $148.26 / $148.26 / $148.26	Facility		$148.26	$148.26	$148.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $68.20	Professional		$68.20	$68.20	$68.20
United Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $68.20 / $72.29	Professional		$68.20	$68.20	$72.29