Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $54.56 / $110.95	Facility		$24.11	$54.56	$110.95
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $19.14 / $49.91 / $87.30	Facility	CQ	$19.14	$49.91	$87.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.04 / $115.00	Professional		$14.40	$19.04	$115.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.66 / $21.66 / $21.66	Professional	CQ	$21.66	$21.66	$21.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.97 / $75.00	Professional		$19.95	$32.97	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60.00 / $70.00	Facility		$55.00	$60.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $33.00 / $111.17	Professional		$19.00	$33.00	$111.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $28.74 / $48.99	Professional		$0.20	$28.74	$48.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $29.02 / $43.53	Professional		$0.20	$29.02	$43.53
United Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $28.66 / $36.40	Professional		$22.19	$28.66	$36.40