Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $14.78 / $1,659.64	Facility		$6.73	$14.78	$1,659.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $7.33	Professional		$6.73	$6.73	$7.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.16 / $7.07 / $21.47	Facility		$6.16	$7.07	$21.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Facility		$6.73	$6.73	$6.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $7.30 / $7.81	Professional		$6.73	$7.30	$7.81
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $7.02 / $7.02	Facility		$7.02	$7.02	$7.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $6.73	Professional		$6.73	$6.73	$6.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.73 / $6.73 / $7.81	Professional		$6.73	$6.73	$7.81