Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,463.00 / $10,300.00	Facility		$1,642.00	$3,463.00	$10,300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,088.00 / $6,151.00 / $10,920.00	Facility		$5,088.00	$6,151.00	$10,920.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,009.49 / $3,009.49 / $3,009.49	Facility		$3,009.49	$3,009.49	$3,009.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $264.43 / $2,546.98 / $4,588.82	Professional		$264.43	$2,546.98	$4,588.82
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $3,164.94 / $6,448.02 / $6,448.02	Facility		$3,164.94	$6,448.02	$6,448.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,413.96 / $4,776.00 / $11,845.00	Facility		$2,413.96	$4,776.00	$11,845.00