Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $63.15 / $72.87	Facility		$63.15	$63.15	$72.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $63.15 / $79.92	Professional		$56.76	$63.15	$79.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.93 / $184.93 / $184.93	Facility		$184.93	$184.93	$184.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $184.93	Professional		$81.20	$81.20	$184.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $136.13	Facility		$86.66	$86.66	$136.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $86.66 / $122.22	Professional		$63.26	$86.66	$122.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $153.76 / $266.30	Professional		$102.84	$153.76	$266.30
United Facility/Professional Professional Modifier Low / Median / High Price $54.18 / $69.19 / $115.32	Professional		$54.18	$69.19	$115.32