Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $118.50 / $190.08	Facility		$5.21	$118.50	$190.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $19.28	Professional		$4.78	$4.78	$19.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.01 / $15.25	Facility		$4.37	$5.01	$15.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $5.13	Professional		$4.78	$4.78	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Facility		$4.78	$4.78	$4.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $5.19 / $8.39	Professional		$4.78	$5.19	$8.39
United Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Professional		$4.78	$4.78	$4.78