Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.63 / $58.63 / $67.65	Facility		$58.63	$58.63	$67.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.63 / $62.00 / $68.67	Professional		$58.63	$62.00	$68.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.68 / $171.68 / $171.68	Facility		$171.68	$171.68	$171.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $78.30 / $171.68	Professional		$75.40	$78.30	$171.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $126.39	Facility		$80.45	$80.45	$126.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $113.46	Professional		$58.73	$80.45	$113.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $142.75 / $247.22	Professional		$95.47	$142.75	$247.22
United Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $64.23 / $107.06	Professional		$50.30	$64.23	$107.06