Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $75.28 / $91.06	Facility		$39.54	$75.28	$91.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.64 / $39.54 / $43.10	Professional		$33.64	$39.54	$43.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.18 / $41.52 / $126.13	Facility		$36.18	$41.52	$126.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.61	Professional		$39.54	$39.54	$39.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Facility		$39.54	$39.54	$39.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $42.90 / $86.40	Professional		$39.54	$42.90	$86.40
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54