Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $7.77 / $9.44	Facility		$4.09	$7.77	$9.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $9.17	Professional		$4.09	$4.09	$9.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $4.30 / $13.08	Facility		$3.75	$4.30	$13.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.96 / $4.09 / $4.09	Facility		$3.96	$4.09	$4.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.45 / $5.35	Professional		$4.09	$4.45	$5.35
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $4.25 / $4.25	Facility		$4.25	$4.25	$4.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $4.09 / $4.09	Professional		$4.09	$4.09	$4.09