Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $30.00 / $30.00	Professional		$17.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $159.00 / $159.00	Professional		$159.00	$159.00	$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