Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $26.86 / $26.86	Professional		$26.86	$26.86	$26.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $30.75	Professional		$7.65	$7.65	$30.75
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $493.00	Professional		$200.00	$200.00	$493.00