Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $28.56 / $34.64	Facility		$15.03	$28.56	$34.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $39.46	Professional		$15.04	$15.04	$39.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $15.79 / $47.98	Facility		$13.76	$15.79	$47.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.50 / $15.04	Professional		$1.50	$1.50	$15.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $15.04 / $15.04	Facility		$15.03	$15.04	$15.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $16.32 / $18.00	Professional		$15.04	$16.32	$18.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $16.63 / $16.63 / $16.63	Facility		$16.63	$16.63	$16.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04