Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.95 / $38.95 / $100.00	Facility		$38.95	$38.95	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.95 / $48.06 / $100.00	Professional		$38.95	$48.06	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.21 / $120.21 / $120.21	Facility		$120.21	$120.21	$120.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $54.49 / $120.21	Professional		$54.15	$54.49	$120.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.82 / $59.82 / $88.50	Facility		$59.82	$59.82	$88.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $59.82 / $79.45	Professional		$43.67	$59.82	$79.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $99.96 / $173.10	Professional		$66.84	$99.96	$173.10
United Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $44.98 / $74.97	Professional		$41.59	$44.98	$74.97