Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $34.40 / $43.43	Facility		$18.11	$34.40	$43.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $20.56	Professional		$18.86	$18.86	$20.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $19.80 / $60.16	Facility		$17.26	$19.80	$60.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.86	Professional		$18.11	$18.11	$18.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Facility		$18.86	$18.86	$18.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $20.46 / $22.24	Professional		$18.86	$20.46	$22.24
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Facility		$20.04	$20.04	$20.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86