Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.84 / $32.97 / $38.78	Facility		$16.84	$32.97	$38.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $36.72	Professional		$16.84	$16.84	$36.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.41 / $17.68 / $53.72	Facility		$15.41	$17.68	$53.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $17.59	Professional		$16.84	$16.84	$17.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $16.84 / $16.84	Facility		$16.61	$16.84	$16.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $18.27 / $28.58	Professional		$16.84	$18.27	$28.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Facility		$18.59	$18.59	$18.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $16.84	Professional		$16.84	$16.84	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.84 / $16.84 / $18.86	Professional		$16.84	$16.84	$18.86