Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.12 / $26.83 / $33.03	Facility		$14.12	$26.83	$33.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $28.45	Professional		$14.34	$14.34	$28.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.12 / $15.06 / $45.74	Facility		$13.12	$15.06	$45.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $14.34	Professional		$14.12	$14.12	$14.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $14.34 / $14.34	Facility		$13.64	$14.34	$14.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $15.55 / $28.92	Professional		$14.34	$15.55	$28.92
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Facility		$14.62	$14.62	$14.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
United Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $16.05	Professional		$14.34	$14.34	$16.05