Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $28.33 / $34.20	Facility		$14.85	$28.33	$34.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $37.26	Professional		$14.85	$14.85	$37.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $15.59 / $18.60	Facility		$14.84	$15.59	$18.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $14.91	Professional		$14.85	$14.85	$14.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $14.84 / $14.84	Facility		$14.26	$14.84	$14.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $14.84 / $14.84	Professional		$14.84	$14.84	$14.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $16.11 / $23.11	Professional		$14.84	$16.11	$23.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Facility		$15.80	$15.80	$15.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $14.84 / $14.84	Professional		$14.84	$14.84	$14.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $16.63	Professional		$14.85	$14.85	$16.63