Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.94 / $139.75 / $170.28	Facility		$73.94	$139.75	$170.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $74.67 / $141.27	Professional		$73.94	$74.67	$141.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.66 / $77.64 / $235.87	Facility		$67.66	$77.64	$235.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $76.31	Professional		$73.94	$73.94	$76.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.37 / $73.94 / $73.94	Facility		$70.37	$73.94	$73.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $80.20 / $83.83	Professional		$73.77	$80.20	$83.83
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $77.76 / $77.76	Facility		$77.76	$77.76	$77.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $73.94	Professional		$73.94	$73.94	$73.94
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $78.38	Professional		$73.94	$73.94	$78.38