Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $69.65 / $84.61	Facility		$36.74	$69.65	$84.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $73.26	Professional		$36.74	$36.74	$73.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $38.58 / $117.20	Facility		$33.61	$38.58	$117.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $38.04	Professional		$36.74	$36.74	$38.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.74 / $36.74	Facility		$36.65	$36.74	$36.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $36.74	Professional		$36.74	$36.74	$36.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $39.86 / $42.14	Professional		$36.72	$39.86	$42.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $40.60 / $40.60 / $40.60	Facility		$40.60	$40.60	$40.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $36.74	Professional		$36.74	$36.74	$36.74
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $38.94	Professional		$36.74	$36.74	$38.94