Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $51.91 / $61.05	Facility		$28.89	$51.91	$61.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $33.67	Professional		$26.51	$26.51	$33.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $27.84 / $33.21	Facility		$26.51	$27.84	$33.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $29.92	Professional		$26.51	$26.51	$29.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $26.51 / $36.78	Facility		$26.51	$26.51	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $23.96 / $86.02	Professional		$23.96	$23.96	$86.02
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $42.72 / $42.72 / $42.72	Facility		$42.72	$42.72	$42.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $26.51	Professional		$26.51	$26.51	$26.51
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $28.10	Professional		$26.51	$26.51	$28.10