Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.60 / $130.60 / $130.60	Facility		$130.60	$130.60	$130.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $236.64 / $498.08	Professional		$4.05	$236.64	$498.08
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $256.64 / $256.64	Facility		$135.22	$256.64	$256.64
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00