Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,599.00 / $5,923.00	Facility		$1,375.00	$2,599.00	$5,923.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,886.00 / $6,164.00 / $9,964.00	Facility		$4,886.00	$6,164.00	$9,964.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,166.50 / $3,166.50 / $3,166.50	Facility		$3,166.50	$3,166.50	$3,166.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $919.19 / $4,326.72	Professional		$12.70	$919.19	$4,326.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,328.25 / $5,974.27 / $5,974.27	Facility		$3,328.25	$5,974.27	$5,974.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,415.00 / $4,776.00 / $11,845.00	Facility		$2,415.00	$4,776.00	$11,845.00