Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Facility		$6.00	$6.00	$6.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $6.00 / $6.00	Professional		$6.00	$6.00	$6.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $15.00 / $15.00	Professional		$12.75	$15.00	$15.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.22 / $159.00	Professional		$2.22	$2.22	$159.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $400.00 / $493.00	Professional		$200.00	$400.00	$493.00