Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $37.21 / $43.76	Facility		$20.71	$37.21	$43.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.19 / $320.27	Professional		$19.00	$19.19	$320.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.95 / $23.80	Facility		$19.00	$19.95	$23.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $21.99	Professional		$19.00	$19.00	$21.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $19.00 / $26.37	Facility		$19.00	$19.00	$26.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.34 / $15.34 / $105.97	Professional		$15.34	$15.34	$105.97
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $37.76 / $37.76 / $37.76	Facility		$37.76	$37.76	$37.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $20.14	Professional		$19.00	$19.00	$20.14