Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $9.18 / $10.80	Facility		$4.69	$9.18	$10.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.74 / $6.44	Professional		$4.69	$4.74	$6.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $4.92 / $14.96	Facility		$4.29	$4.92	$14.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $5.45	Professional		$4.69	$4.69	$5.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.69 / $4.69 / $6.10	Facility		$4.69	$4.69	$6.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $5.09 / $21.64	Professional		$4.69	$5.09	$21.64
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $7.37 / $7.37	Facility		$7.37	$7.37	$7.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69
United Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $4.69 / $4.69	Professional		$4.69	$4.69	$4.69