Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $100.09 / $139.36	Facility		$52.68	$100.09	$139.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.68 / $52.68 / $53.95	Professional		$52.68	$52.68	$53.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $55.53 / $168.72	Facility		$48.39	$55.53	$168.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $53.95 / $53.95	Professional		$52.89	$53.95	$53.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Facility		$53.95	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $63.47	Professional		$53.95	$53.95	$63.47
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $81.47 / $81.47 / $81.47	Facility		$81.47	$81.47	$81.47
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $52.89	Professional		$52.89	$52.89	$52.89