Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Professional		$630.00	$630.00	$630.00
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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.87 / $169.87 / $290.88	Facility		$61.87	$169.87	$290.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Professional		$424.00	$424.00	$424.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Professional		$190.00	$190.00	$190.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $121.02 / $121.02 / $121.02	Facility		$121.02	$121.02	$121.02