Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $157.43 / $188.62	Facility		$82.86	$157.43	$188.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $82.72 / $174.68	Professional		$81.90	$82.72	$174.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $86.00 / $261.26	Facility		$74.94	$86.00	$261.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $85.99	Professional		$81.90	$81.90	$85.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $81.90 / $81.90	Facility		$79.34	$81.90	$81.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $88.85 / $104.39	Professional		$86.64	$88.85	$104.39
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $86.26 / $86.26 / $86.26	Facility		$86.26	$86.26	$86.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $86.81	Professional		$81.90	$81.90	$86.81