Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $112.89 / $265.86	Facility		$6.83	$112.89	$265.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $62.54	Professional		$6.83	$6.83	$62.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.25 / $7.17 / $21.79	Facility		$6.25	$7.17	$21.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.14 / $3.14 / $6.83	Professional		$3.14	$3.14	$6.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Facility		$6.83	$6.83	$6.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $7.41 / $19.64	Professional		$6.83	$7.41	$19.64
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Professional		$6.83	$6.83	$6.83