Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $80.33 / $111.85	Facility		$42.28	$80.33	$111.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $42.28 / $43.30	Professional		$40.75	$42.28	$43.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $40.53 / $40.53	Facility		$0.03	$40.53	$40.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $40.53	Professional		$40.53	$40.53	$40.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Facility		$28.87	$28.87	$28.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $42.16	Professional		$28.87	$28.87	$42.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $350.00 / $425.00	Professional		$100.00	$350.00	$425.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $42.96	Professional		$40.53	$40.53	$42.96