Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $271.52 / $628.42	Facility		$2.39	$271.52	$628.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $4.43	Professional		$1.22	$1.22	$4.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.28 / $3.89	Facility		$1.12	$1.28	$3.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.23	Professional		$1.22	$1.22	$1.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Facility		$1.22	$1.22	$1.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.33 / $3.42	Professional		$1.22	$1.33	$3.42
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22