Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.22 / $51.87 / $68.87	Facility		$29.22	$51.87	$68.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $24.35 / $200.75	Professional		$17.48	$24.35	$200.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $31.22 / $39.03	Facility		$13.90	$31.22	$39.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $18.88	Professional		$12.49	$12.49	$18.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $36.52 / $113.02	Facility		$20.29	$36.52	$113.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $15.42 / $45.63	Professional		$14.65	$15.42	$45.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $32.78	Professional		$6.89	$6.89	$32.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $6.89	Professional		$6.89	$6.89	$6.89
United Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $46.83 / $46.83	Facility		$46.83	$46.83	$46.83
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $13.11 / $31.36	Professional		$11.77	$13.11	$31.36