Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,258.93	Facility		$1,230.27	$1,230.27	$1,258.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $190.55 / $1,174.90	Professional		$3.39	$190.55	$1,174.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,456.54	Facility		$724.44	$1,995.26	$6,456.54