Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $106.75 / $107.92	Facility		$97.94	$106.75	$107.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $113.61	Professional		$97.94	$97.94	$113.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $83.40 / $107.92	Professional		$83.40	$83.40	$107.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $97.94 / $97.94	Professional		$83.55	$97.94	$97.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $106.26 / $106.26 / $206.40	Professional		$106.26	$106.26	$206.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $191.07	Professional		$127.38	$127.38	$191.07
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Professional		$97.94	$97.94	$97.94