Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,523.00 / $5,923.00	Facility		$1,375.00	$2,523.00	$5,923.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,432.00 / $6,151.00 / $10,920.00	Facility		$4,432.00	$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 $19.05 / $1,124.44 / $3,956.18	Professional		$19.05	$1,124.44	$3,956.18
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 $2,818.00 / $4,776.00 / $11,845.00	Facility		$2,818.00	$4,776.00	$11,845.00