Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $71.84 / $106.93	Facility		$40.86	$71.84	$106.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $44.87 / $85.12	Professional		$32.74	$44.87	$85.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.43 / $43.65 / $54.56	Facility		$19.43	$43.65	$54.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $21.56 / $78.45	Professional		$21.56	$21.56	$78.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $51.07 / $158.02	Facility		$28.37	$51.07	$158.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $53.41 / $163.11	Professional		$22.14	$53.41	$163.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $14.89 / $45.83	Professional		$14.89	$14.89	$45.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $14.89 / $14.89	Professional		$14.89	$14.89	$14.89
United Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $65.48 / $65.48	Facility		$65.48	$65.48	$65.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $25.01 / $59.55	Professional		$18.32	$25.01	$59.55