Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $54.72 / $63.14	Facility		$54.72	$54.72	$63.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $61.17 / $64.09	Professional		$54.72	$61.17	$64.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $160.22 / $160.22	Facility		$160.22	$160.22	$160.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $72.28 / $160.22	Professional		$70.37	$72.28	$160.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $117.95	Facility		$75.09	$75.09	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $75.09 / $105.89	Professional		$54.82	$75.09	$105.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.10 / $133.22 / $230.73	Professional		$89.10	$133.22	$230.73
United Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $59.95 / $99.92	Professional		$46.94	$59.95	$99.92