Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.88 / $1,713.00 / $4,473.00	Facility		$213.88	$1,713.00	$4,473.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,931.00 / $5,930.00 / $9,964.00	Facility		$3,931.00	$5,930.00	$9,964.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.38 / $665.38 / $665.38	Facility		$665.38	$665.38	$665.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $192.20 / $678.72	Professional		$49.00	$192.20	$678.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $678.72 / $1,716.83 / $1,716.83	Facility		$678.72	$1,716.83	$1,716.83
United Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,709.00 / $4,715.00	Facility		$686.00	$1,709.00	$4,715.00