Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $10.15 / $12.25	Facility		$5.32	$10.15	$12.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $11.63	Professional		$5.32	$5.32	$11.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.32 / $5.59 / $6.66	Facility		$5.32	$5.59	$6.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.34	Professional		$5.32	$5.32	$5.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.21 / $5.32 / $5.32	Facility		$5.21	$5.32	$5.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.77 / $6.65	Professional		$5.32	$5.77	$6.65
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5.58 / $5.58 / $5.58	Facility		$5.58	$5.58	$5.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32
United Facility/Professional Professional Modifier Low / Median / High Price $5.32 / $5.32 / $5.32	Professional		$5.32	$5.32	$5.32