Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.00 / $3,959.00 / $10,300.00	Facility		$1,880.00	$3,959.00	$10,300.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility	22	$10,000.00	$10,000.00	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,556.00 / $9,098.00 / $15,073.00	Facility		$6,556.00	$9,098.00	$15,073.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,151.33 / $17,045.00 / $17,152.00	Facility		$5,151.33	$17,045.00	$17,152.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $1,477.94 / $6,683.54	Professional		$18.17	$1,477.94	$6,683.54
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,346.83 / $11,506.27 / $11,506.27	Facility		$5,346.83	$11,506.27	$11,506.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00