Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $54.19 / $65.68	Facility		$28.52	$54.19	$65.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $33.08	Professional		$28.52	$28.52	$33.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.10 / $29.95 / $90.98	Facility		$26.10	$29.95	$90.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $29.59	Professional		$28.52	$28.52	$29.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Facility		$28.52	$28.52	$28.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $38.38 / $38.38	Professional		$28.52	$38.38	$38.38
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $37.47 / $37.47 / $37.47	Facility		$37.47	$37.47	$37.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $28.52	Professional		$28.52	$28.52	$28.52
United Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $28.52 / $30.23	Professional		$28.52	$28.52	$30.23