Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,275.00	Facility		$1,245.00	$1,245.00	$1,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,245.00 / $1,275.00	Professional		$1,200.00	$1,245.00	$1,275.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,020.00	Professional		$1,020.00	$1,020.00	$1,020.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $212.72 / $1,500.00	Professional		$127.38	$212.72	$1,500.00
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 $1,250.00 / $1,250.00 / $1,250.00	Professional		$1,250.00	$1,250.00	$1,250.00