Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $120.42 / $175.35	Facility		$79.86	$120.42	$175.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $398.63	Professional		$79.86	$79.86	$398.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $83.85 / $254.75	Facility		$73.06	$83.85	$254.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $79.86 / $79.86	Professional		$65.77	$79.86	$79.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $79.86 / $79.86	Facility		$74.76	$79.86	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $91.49	Professional		$79.86	$79.86	$91.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $86.64 / $86.64 / $158.63	Professional		$86.64	$86.64	$158.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $80.16 / $80.16	Facility		$80.16	$80.16	$80.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $79.86	Professional		$79.86	$79.86	$79.86
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $84.65	Professional		$79.86	$79.86	$84.65