Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,788.61	Facility		$1,640.93	$1,640.93	$1,788.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,805.02	Professional		$1,640.93	$1,640.93	$1,805.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $179.61 / $1,560.00 / $1,780.25	Professional		$179.61	$1,560.00	$1,780.25
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 $1,640.93 / $1,640.93 / $1,640.93	Professional		$1,640.93	$1,640.93	$1,640.93