Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $77.04 / $133.63	Facility		$53.08	$77.04	$133.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $182.00	Professional		$53.08	$53.08	$182.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $55.73 / $169.33	Facility		$48.57	$55.73	$169.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $53.08 / $53.08	Professional		$47.37	$53.08	$53.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $53.08	Facility		$47.49	$47.49	$53.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $55.87	Professional		$47.49	$47.49	$55.87
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $58.66 / $58.66 / $58.66	Facility		$58.66	$58.66	$58.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.08	Professional		$53.08	$53.08	$53.08