Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $39.83 / $45.96	Facility		$39.83	$39.83	$45.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.94 / $56.32	Professional		$39.83	$39.94	$56.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.63 / $116.63 / $116.63	Facility		$116.63	$116.63	$116.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $52.62 / $116.63	Professional		$52.62	$52.62	$116.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $85.86	Facility		$62.81	$62.81	$85.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $77.08	Professional		$45.85	$62.81	$77.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $96.98 / $167.95	Professional		$64.86	$96.98	$167.95
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $43.64 / $72.73	Professional		$34.17	$43.64	$72.73