Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $109.29	Facility		$51.31	$51.31	$109.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $56.44	Professional		$51.31	$51.31	$56.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $51.31 / $123.14	Facility		$16.68	$51.31	$123.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $20.52 / $51.31	Professional		$20.52	$20.52	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.24 / $48.69 / $60.03	Facility		$35.24	$48.69	$60.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.72 / $67.95	Professional		$51.31	$56.72	$67.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $53.88	Professional		$51.31	$51.31	$53.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $21.55 / $51.33	Professional		$21.55	$21.55	$51.33