Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $34.77 / $41.48	Facility		$18.01	$34.77	$41.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $24.73 / $4,731.05	Professional		$18.01	$24.73	$4,731.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $18.91 / $57.45	Facility		$16.48	$18.91	$57.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.30	Professional		$18.01	$18.01	$18.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Facility		$18.01	$18.01	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $19.54 / $24.97	Professional		$18.01	$19.54	$24.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $20.01 / $20.01	Facility		$20.01	$20.01	$20.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01