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 $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,694.29 / $1,694.29 / $1,694.29	Facility		$1,694.29	$1,694.29	$1,694.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $250.54 / $2,214.25	Professional		$4.67	$250.54	$2,214.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.40 / $4,074.74 / $4,074.74	Facility		$1,771.40	$4,074.74	$4,074.74
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00