Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $57.77	Facility		$53.00	$53.00	$57.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $58.30	Professional		$53.00	$53.00	$58.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $63.60	Professional		$53.00	$53.00	$63.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $79.80 / $1,140.00	Professional		$57.50	$79.80	$1,140.00
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 $53.00 / $53.00 / $53.00	Professional		$53.00	$53.00	$53.00