Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $42.06 / $49.47	Facility		$22.62	$42.06	$49.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $69.59	Professional		$21.48	$21.48	$69.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $22.55 / $68.52	Facility		$19.64	$22.55	$68.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $22.62	Professional		$21.48	$21.48	$22.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $23.98	Facility		$21.48	$21.48	$23.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $23.31 / $61.14	Professional		$21.48	$23.31	$61.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $25.78 / $25.78	Facility		$25.78	$25.78	$25.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $21.48 / $21.48	Professional		$21.48	$21.48	$21.48