Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $34.97 / $46.44	Facility		$19.70	$34.97	$46.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $16.42 / $135.35	Professional		$15.79	$16.42	$135.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $21.05 / $26.31	Facility		$9.36	$21.05	$26.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.73 / $15.45	Professional		$9.35	$12.73	$15.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $24.62 / $76.20	Facility		$13.68	$24.62	$76.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $24.37 / $30.46	Professional		$14.22	$24.37	$30.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $21.05 / $22.10	Professional		$0.28	$21.05	$22.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $6.51	Professional		$6.51	$6.51	$6.51
United Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $11.11 / $21.05	Professional		$8.84	$11.11	$21.05