Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
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 $973.17 / $973.17 / $973.17	Facility		$973.17	$973.17	$973.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $1,002.57 / $1,584.94	Professional		$24.70	$1,002.57	$1,584.94
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $990.59 / $2,158.16 / $2,158.16	Facility		$990.59	$2,158.16	$2,158.16
United Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $2,415.00 / $4,296.00	Facility		$875.00	$2,415.00	$4,296.00