Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $7.66 / $9.00	Facility		$3.91	$7.66	$9.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.36 / $8,160.00	Professional		$3.91	$5.36	$8,160.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $4.11 / $12.47	Facility		$3.58	$4.11	$12.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $4.49	Professional		$3.91	$3.91	$4.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $3.91 / $3.91	Facility		$3.90	$3.91	$3.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $3.91	Professional		$3.91	$3.91	$3.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $4.25 / $9.00	Professional		$3.91	$4.25	$9.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5.14 / $5.14 / $5.14	Facility		$5.14	$5.14	$5.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $3.91	Professional		$3.91	$3.91	$3.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $3.91 / $3.91	Professional		$3.91	$3.91	$3.91