Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.49 / $1,639.00 / $4,396.00	Facility		$404.49	$1,639.00	$4,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $365.66 / $391.02	Facility		$280.08	$365.66	$391.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $341.94 / $543.82	Professional		$190.00	$341.94	$543.82
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $286.37 / $3,584.18 / $3,584.18	Facility		$286.37	$3,584.18	$3,584.18
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00