Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $55.62 / $226.99	Facility		$25.33	$55.62	$226.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $957.06	Professional		$25.33	$25.33	$957.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.18 / $26.60 / $80.80	Facility		$23.18	$26.60	$80.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $119.47	Professional		$25.33	$25.33	$119.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $37.08	Facility		$25.33	$25.33	$37.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $27.48 / $38.93	Professional		$25.33	$27.48	$38.93
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $55.78 / $55.78 / $55.78	Facility		$55.78	$55.78	$55.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $25.33	Professional		$25.33	$25.33	$25.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $25.33 / $28.20	Professional		$16.46	$25.33	$28.20