Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $14.02 / $14.48	Facility		$12.86	$14.02	$14.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $14.15	Professional		$12.86	$12.86	$14.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $14.48	Professional		$12.86	$12.86	$14.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Facility		$12.86	$12.86	$12.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $13.95 / $200.00	Professional		$13.95	$13.95	$200.00
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 $12.86 / $12.86 / $12.86	Professional		$12.86	$12.86	$12.86