Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $25.25 / $29.92	Facility		$12.99	$25.25	$29.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $14.16 / $12,480.00	Professional		$12.99	$14.16	$12,480.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $13.64 / $16.27	Facility		$12.99	$13.64	$16.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $13.29	Professional		$12.99	$12.99	$13.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $12.99 / $12.99	Facility		$12.76	$12.99	$12.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $14.10 / $16.62	Professional		$12.99	$14.10	$16.62
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $14.33 / $14.33	Facility		$14.33	$14.33	$14.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99