Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $11.30 / $13.29	Facility		$5.77	$11.30	$13.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $5.77 / $6.29	Professional		$5.76	$5.77	$6.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.28 / $6.06 / $18.41	Facility		$5.28	$6.06	$18.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $6.02	Professional		$5.77	$5.77	$6.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.77 / $5.77 / $6.17	Facility		$5.77	$5.77	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $6.26 / $19.14	Professional		$5.77	$6.26	$19.14
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $6.52 / $6.52 / $6.52	Facility		$6.52	$6.52	$6.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $5.77 / $5.77	Professional		$5.77	$5.77	$5.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.75 / $5.77 / $5.77	Professional		$3.75	$5.77	$5.77