Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.19 / $44.19 / $45.25	Facility		$44.19	$44.19	$45.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $44.19 / $45.25	Professional		$42.59	$44.19	$45.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.02 / $45.25 / $45.25	Professional		$11.02	$45.25	$45.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $127.38 / $222.92	Professional		$45.25	$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 $44.36 / $44.36 / $44.36	Professional		$44.36	$44.36	$44.36