Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $34.94 / $41.80	Facility		$18.14	$34.94	$41.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $37.96	Professional		$18.14	$18.14	$37.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $19.05 / $57.90	Facility		$16.61	$19.05	$57.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.39	Professional		$18.14	$18.14	$18.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.69 / $18.14 / $18.14	Facility		$17.69	$18.14	$18.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $19.69 / $30.89	Professional		$18.14	$19.69	$30.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $19.34 / $19.34 / $19.34	Facility		$19.34	$19.34	$19.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $18.14	Professional		$18.14	$18.14	$18.14
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.14 / $20.32	Professional		$18.14	$18.14	$20.32