Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $102.85	Facility		$100.43	$100.43	$102.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $100.43 / $102.85	Professional		$96.80	$100.43	$102.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Facility		$102.85	$102.85	$102.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $102.85 / $102.85	Professional		$102.85	$102.85	$102.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $127.38 / $222.92	Professional		$102.85	$127.38	$222.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $191.07	Professional		$127.38	$127.38	$191.07
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Professional		$110.00	$110.00	$110.00