Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $25.35 / $30.61	Facility		$13.29	$25.35	$30.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.41 / $31.26	Professional		$13.29	$13.41	$31.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.29 / $13.95 / $16.64	Facility		$13.29	$13.95	$16.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.34	Professional		$13.29	$13.29	$13.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $13.29 / $13.29	Facility		$12.99	$13.29	$13.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $14.42 / $15.24	Professional		$13.29	$14.42	$15.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $14.36 / $14.36 / $14.36	Facility		$14.36	$14.36	$14.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29
United Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $13.29 / $13.29	Professional		$13.29	$13.29	$13.29