Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.18 / $39.18 / $40.11	Facility		$39.18	$39.18	$40.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $39.18 / $40.11	Professional		$37.76	$39.18	$40.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Facility		$40.11	$40.11	$40.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $40.11 / $40.11	Professional		$40.11	$40.11	$40.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $127.38 / $222.92	Professional		$40.11	$127.38	$222.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $191.07	Professional		$127.38	$127.38	$191.07
United Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $39.33 / $39.33	Professional		$39.33	$39.33	$39.33