Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $32.54	Facility		$12.68	$12.68	$32.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $17.30 / $32.54	Professional		$12.68	$17.30	$32.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $53.97 / $53.97	Facility		$53.97	$53.97	$53.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $43.66	Professional		$25.00	$25.00	$43.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.22 / $23.68	Professional		$16.22	$22.22	$23.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $53.97 / $94.45	Professional		$52.89	$53.97	$94.45
United Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $19.37 / $28.58	Professional		$15.38	$19.37	$28.58