Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $119.64 / $141.50	Facility		$62.97	$119.64	$141.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $63.28 / $196.71	Professional		$61.44	$63.28	$196.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $64.51 / $76.95	Facility		$61.44	$64.51	$76.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $65.34	Professional		$61.44	$61.44	$65.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $63.06	Facility		$61.44	$61.44	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Professional		$61.44	$61.44	$61.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $66.65 / $93.50	Professional		$66.65	$66.65	$93.50
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $70.50 / $70.50 / $70.50	Facility		$70.50	$70.50	$70.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Professional		$61.44	$61.44	$61.44
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $65.13	Professional		$61.44	$61.44	$65.13