Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $26.87 / $38.42	Facility		$13.26	$26.87	$38.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $15.32 / $16.87	Professional		$14.14	$15.32	$16.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $30.15	Professional		$14.88	$14.88	$30.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Facility		$30.15	$30.15	$30.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $30.15 / $30.15	Professional		$30.15	$30.15	$30.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $17.50	Professional		$17.50	$17.50	$17.50
United Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $17.50 / $17.50	Professional		$16.63	$17.50	$17.50