Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $2,472.00 / $4,730.00	Facility		$1,216.00	$2,472.00	$4,730.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,741.63 / $1,741.63 / $1,741.63	Facility		$1,741.63	$1,741.63	$1,741.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $203.49 / $1,006.32 / $1,853.74	Professional		$203.49	$1,006.32	$1,853.74
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,799.18 / $3,811.73 / $3,811.73	Facility		$1,799.18	$3,811.73	$3,811.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00