Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $41.73 / $49.08	Facility		$21.31	$41.73	$49.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $23.23 / $10,336.04	Professional		$21.30	$23.23	$10,336.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $22.38 / $26.69	Facility		$21.31	$22.38	$26.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $22.06	Professional		$21.31	$21.31	$22.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $21.67	Facility		$21.31	$21.31	$21.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $23.12 / $37.44	Professional		$21.31	$23.12	$37.44
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $24.60 / $24.60	Facility		$24.60	$24.60	$24.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.85 / $21.31 / $21.31	Professional		$13.85	$21.31	$21.31