Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $93.12 / $4,850.75	Facility		$47.55	$93.12	$4,850.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $49.47 / $5,289.60	Professional		$47.55	$49.47	$5,289.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $49.93 / $59.56	Facility		$47.55	$49.93	$59.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.28 / $47.55 / $47.55	Professional		$43.28	$47.55	$47.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.69 / $47.55 / $47.55	Facility		$34.69	$47.55	$47.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $48.17 / $108.81	Professional		$48.17	$48.17	$108.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $26.89 / $26.89	Facility		$26.89	$26.89	$26.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $50.40	Professional		$47.55	$47.55	$50.40