Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.38 / $12.38 / $13.62	Facility		$12.38	$12.38	$13.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $13.74	Professional		$12.49	$12.49	$13.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $12.49 / $12.49	Professional		$12.38	$12.49	$12.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Facility		$12.49	$12.49	$12.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $127.38 / $222.92	Professional		$12.49	$127.38	$222.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $127.38	Professional		$127.38	$127.38	$127.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49