Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $147.30 / $4,782.68	Facility		$75.93	$147.30	$4,782.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $75.95 / $242.51	Professional		$75.20	$75.95	$242.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $78.98 / $94.22	Facility		$75.22	$78.98	$94.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $78.79	Professional		$75.22	$75.22	$78.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $76.73	Facility		$75.22	$75.22	$76.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $81.61 / $112.74	Professional		$81.61	$81.61	$112.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $85.44 / $85.44 / $85.44	Facility		$85.44	$85.44	$85.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $79.73	Professional		$75.22	$75.22	$79.73