Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,173.00 / $12,719.00 / $15,372.00	Facility		$9,173.00	$12,719.00	$15,372.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,681.93 / $4,681.93 / $4,681.93	Facility		$4,681.93	$4,681.93	$4,681.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $1,154.01 / $5,858.58	Professional		$8.56	$1,154.01	$5,858.58
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00