Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $4.29 / $5.11	Facility		$2.22	$4.29	$5.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $6.00	Professional		$2.22	$2.22	$6.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.22 / $2.33 / $2.78	Facility		$2.22	$2.33	$2.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.25	Professional		$2.22	$2.22	$2.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.22 / $2.22	Facility		$2.19	$2.22	$2.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.41 / $3.20	Professional		$2.22	$2.41	$3.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Facility		$2.40	$2.40	$2.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22
United Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $2.22	Professional		$2.22	$2.22	$2.22