Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $118.09 / $142.33	Facility		$61.80	$118.09	$142.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $62.40 / $235.95	Professional		$61.79	$62.40	$235.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.55 / $64.89 / $197.14	Facility		$56.55	$64.89	$197.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $62.15	Professional		$61.80	$61.80	$62.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Facility		$61.80	$61.80	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $63.57 / $279.33	Professional		$61.80	$63.57	$279.33
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $188.76 / $188.76 / $188.76	Facility		$188.76	$188.76	$188.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80