Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Professional		$35.00	$35.00	$35.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $20.26 / $20.26	Professional		$12.38	$20.26	$20.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $15.84 / $59.28	Professional		$15.84	$15.84	$59.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $400.00 / $493.00	Professional		$200.00	$400.00	$493.00