Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.55 / $12.55 / $12.55	Facility		$12.55	$12.55	$12.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $13.64 / $41.36	Professional		$12.55	$13.64	$41.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $14.33 / $14.33	Facility		$14.33	$14.33	$14.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.71 / $6.15 / $6.15	Professional		$4.71	$6.15	$6.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $5.95 / $5.95	Professional		$5.95	$5.95	$5.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $14.33 / $14.33	Professional		$14.33	$14.33	$14.33
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $11.56 / $21.89	Professional		$7.75	$11.56	$21.89