Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $88.84 / $117.96	Facility		$50.05	$88.84	$117.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $46.00 / $104.27	Professional		$29.94	$46.00	$104.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.80 / $53.47 / $66.84	Facility		$23.80	$53.47	$66.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $21.39 / $32.34	Professional		$21.39	$21.39	$32.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.76 / $62.57 / $193.61	Facility		$34.76	$62.57	$193.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $26.88 / $78.15	Professional		$25.54	$26.88	$78.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $56.14	Professional		$12.02	$12.02	$56.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $80.20 / $80.20 / $80.20	Facility		$80.20	$80.20	$80.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $22.46 / $58.80	Professional		$20.51	$22.46	$58.80