Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $34.39 / $41.64	Facility		$18.07	$34.39	$41.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $19.71 / $6,516.00	Professional		$18.07	$19.71	$6,516.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $18.98 / $57.68	Facility		$16.54	$18.98	$57.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.10	Professional		$18.07	$18.07	$18.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Facility		$18.07	$18.07	$18.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $19.61 / $21.76	Professional		$18.07	$19.61	$21.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $19.11 / $19.11	Facility		$19.11	$19.11	$19.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $18.07	Professional		$18.07	$18.07	$18.07