Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $67.77 / $90.84	Facility		$32.11	$67.77	$90.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $28.63 / $47.36	Professional		$18.80	$28.63	$47.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.16 / $149.16 / $186.45	Facility		$149.16	$149.16	$186.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Professional		$17.28	$17.28	$17.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.39 / $149.11	Facility		$1.12	$1.39	$149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $19.64 / $39.09	Professional		$12.86	$19.64	$39.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $190.00 / $425.00	Professional		$0.17	$190.00	$425.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $189.38 / $189.38	Facility		$189.38	$189.38	$189.38
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $16.69 / $25.55	Professional		$11.04	$16.69	$25.55