Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $144.74 / $172.79	Facility		$76.18	$144.74	$172.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $261.16	Professional		$75.03	$75.78	$261.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $78.78 / $93.98	Facility		$75.02	$78.78	$93.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $79.06	Professional		$75.03	$75.03	$79.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $75.02 / $77.05	Facility		$75.02	$75.02	$77.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $75.02	Professional		$75.02	$75.02	$75.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $81.40 / $124.67	Professional		$81.40	$81.40	$124.67
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $86.14 / $86.14 / $86.14	Facility		$86.14	$86.14	$86.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $75.02	Professional		$75.02	$75.02	$75.02
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.03 / $79.53	Professional		$75.03	$75.03	$79.53