Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $1,639.00 / $4,396.00	Facility		$392.00	$1,639.00	$4,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,470.87 / $1,920.23 / $2,053.42	Facility		$1,470.87	$1,920.23	$2,053.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $724.26 / $1,795.00	Professional		$2.40	$724.26	$1,795.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.83 / $3,030.83 / $3,030.83	Facility		$1,495.83	$3,030.83	$3,030.83
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,940.00 / $7,221.00	Facility		$888.00	$2,940.00	$7,221.00