Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $19.57 / $23.72	Facility		$10.30	$19.57	$23.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $24.52	Professional		$10.30	$10.30	$24.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.42 / $10.82 / $32.86	Facility		$9.42	$10.82	$32.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Facility		$10.30	$10.30	$10.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.17 / $12.60	Professional		$10.30	$11.17	$12.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $10.30	Professional		$10.30	$10.30	$10.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $12.60	Professional		$10.30	$10.30	$12.60