Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $51.47 / $25,337.85	Facility		$23.65	$51.47	$25,337.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $24.60 / $6,033.73	Professional		$23.65	$24.60	$6,033.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $24.83 / $75.44	Facility		$21.64	$24.83	$75.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $23.63 / $23.65	Professional		$23.63	$23.63	$23.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $23.65 / $23.65	Facility		$23.17	$23.65	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $25.66 / $27.84	Professional		$23.65	$25.66	$27.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $25.31 / $25.31 / $25.31	Facility		$25.31	$25.31	$25.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65