Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.87 / $987.87 / $987.87	Facility		$987.87	$987.87	$987.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.87 / $987.87 / $987.87	Professional		$987.87	$987.87	$987.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,310.00 / $1,310.00 / $1,545.00	Facility		$1,310.00	$1,310.00	$1,545.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $130.32 / $1,349.14	Professional		$126.52	$130.32	$1,349.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $719.77 / $1,978.78 / $3,388.33	Facility		$719.77	$1,978.78	$3,388.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.00 / $453.00 / $453.00	Professional		$453.00	$453.00	$453.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $652.49 / $899.40 / $1,087.48	Professional		$652.49	$899.40	$1,087.48
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,409.67 / $1,409.67 / $1,409.67	Facility		$1,409.67	$1,409.67	$1,409.67
United Facility/Professional Facility Modifier Low / Median / High Price $684.34 / $728.02 / $790.70	Facility		$684.34	$728.02	$790.70
United Facility/Professional Professional Modifier Low / Median / High Price $822.87 / $1,115.78 / $1,651.35	Professional		$822.87	$1,115.78	$1,651.35