Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $126.06 / $134.94	Facility		$123.80	$126.06	$134.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $136.18	Professional		$123.80	$123.80	$136.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $126.06	Professional		$123.80	$123.80	$126.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $222.92 / $270.00	Professional		$127.38	$222.92	$270.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $127.38 / $127.38	Professional		$127.38	$127.38	$127.38
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80