Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.75 / $948.75 / $948.75	Facility		$948.75	$948.75	$948.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.01 / $831.68 / $1,112.23	Professional		$664.01	$831.68	$1,112.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.94 / $828.88 / $1,503.72	Professional		$457.94	$828.88	$1,503.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $674.00 / $861.23 / $1,425.54	Professional		$674.00	$861.23	$1,425.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $85.50 / $507.29	Professional		$4.75	$85.50	$507.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $4.75	Professional		$4.75	$4.75	$4.75
United Facility/Professional Professional Modifier Low / Median / High Price $426.43 / $618.62 / $995.27	Professional		$426.43	$618.62	$995.27