Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $4.09 / $4.84	Facility		$2.10	$4.09	$4.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $4.90	Professional		$2.10	$2.10	$4.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.21 / $2.63	Facility		$2.10	$2.21	$2.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.15	Professional		$2.10	$2.10	$2.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Facility		$2.10	$2.10	$2.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.27 / $3.08	Professional		$2.10	$2.27	$3.08
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $2.10 / $2.10	Professional		$2.10	$2.10	$2.10