Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $85.00	Facility		$83.00	$83.00	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $83.00 / $85.00	Professional		$80.00	$83.00	$85.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $127.38 / $222.92	Professional		$85.00	$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 $160.91 / $160.91 / $160.91	Professional		$160.91	$160.91	$160.91