Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $23.07 / $27.96	Facility		$12.14	$23.07	$27.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $26.67	Professional		$12.14	$12.14	$26.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $12.75 / $38.72	Facility		$11.11	$12.75	$38.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.19	Facility		$12.14	$12.14	$12.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $13.17 / $14.49	Professional		$12.14	$13.17	$14.49
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Facility		$13.47	$13.47	$13.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
United Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14