Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $38.22 / $51.89	Facility		$19.52	$38.22	$51.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $31.44 / $696.00	Professional		$19.52	$31.44	$696.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $20.50 / $62.27	Facility		$17.86	$20.50	$62.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $19.52	Professional		$17.37	$17.37	$19.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.37 / $19.52 / $19.52	Facility		$17.37	$19.52	$19.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $21.18 / $24.31	Professional		$19.52	$21.18	$24.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $21.57 / $21.57	Facility		$21.57	$21.57	$21.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52