Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $43.02	Facility		$37.28	$37.28	$43.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $43.02 / $46.61	Professional		$37.28	$43.02	$46.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.17 / $109.17 / $109.17	Facility		$109.17	$109.17	$109.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $59.20 / $133.25	Professional		$59.20	$59.20	$133.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $80.37	Facility		$66.72	$66.72	$80.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $81.53	Professional		$48.71	$66.72	$81.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $90.77 / $172.49	Professional		$60.71	$90.77	$172.49
United Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $49.85 / $76.29	Professional		$39.04	$49.85	$76.29