Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.12 / $47.12 / $54.37	Facility		$47.12	$47.12	$54.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $54.37 / $252.80	Professional		$47.12	$54.37	$252.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $137.97 / $137.97	Facility		$137.97	$137.97	$137.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $84.03 / $183.97	Professional		$80.79	$84.03	$183.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.87 / $86.21 / $86.21	Facility		$78.87	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $109.42	Professional		$62.93	$86.21	$109.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $114.72 / $198.69	Professional		$76.73	$114.72	$198.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $68.83 / $98.75	Professional		$53.90	$68.83	$98.75