Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $57.96 / $66.88	Facility		$57.96	$57.96	$66.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $65.30 / $76.20	Professional		$57.96	$65.30	$76.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.73 / $169.73 / $169.73	Facility		$169.73	$169.73	$169.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $76.45 / $169.73	Professional		$74.54	$76.45	$169.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $104.21 / $124.95	Facility		$104.21	$104.21	$124.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $76.06 / $141.51	Professional		$76.06	$76.06	$141.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $94.38 / $141.12 / $244.41	Professional		$94.38	$141.12	$244.41
United Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $63.50 / $105.84	Professional		$49.72	$63.50	$105.84