Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $30.00 / $30.00	Professional		$22.82	$30.00	$30.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Facility		$38.04	$38.04	$38.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $41.29 / $41.29	Professional		$38.04	$41.29	$41.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $14.68 / $14.68	Professional		$12.90	$14.68	$14.68
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $64.22 / $100.00	Professional		$38.04	$64.22	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $22.16 / $36.93	Professional		$14.77	$22.16	$36.93