Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $58.42 / $123.61	Facility		$20.60	$58.42	$123.61
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $50.75 / $50.75 / $50.75	Facility	CQ	$50.75	$50.75	$50.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $24.70 / $284.00	Professional		$14.40	$24.70	$284.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $36.76 / $75.00	Professional		$23.81	$36.76	$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 $22.58 / $40.08 / $113.94	Professional		$22.58	$40.08	$113.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $34.10 / $60.00	Professional		$0.38	$34.10	$60.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $32.36 / $48.54	Professional		$0.38	$32.36	$48.54
United Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $35.01 / $44.65	Professional		$26.73	$35.01	$44.65