Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,078.00 / $7,046.00 / $13,100.00	Facility		$5,078.00	$7,046.00	$13,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,622.36 / $3,622.36 / $3,622.36	Facility		$3,622.36	$3,622.36	$3,622.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $266.00 / $4,575.60	Professional		$3.35	$266.00	$4,575.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,660.48 / $7,650.58 / $7,650.58	Facility		$3,660.48	$7,650.58	$7,650.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00