Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.62 / $77.43 / $102.81	Facility		$43.62	$77.43	$102.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $36.35 / $299.64	Professional		$26.10	$36.35	$299.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $46.60 / $58.25	Facility		$20.75	$46.60	$58.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $21.14 / $28.19	Professional		$21.14	$21.14	$28.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.29 / $54.52 / $168.72	Facility		$30.29	$54.52	$168.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.63 / $56.91 / $160.16	Professional		$23.63	$56.91	$160.16
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.60 / $48.93	Professional		$14.60	$14.60	$48.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.60 / $14.60	Professional		$14.60	$14.60	$14.60
United Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $24.53 / $58.40	Professional		$19.57	$24.53	$58.40