Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.79 / $1,727.78 / $4,396.00	Facility		$1,145.79	$1,727.78	$4,396.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $298.24 / $298.24 / $327.74	Facility	54	$298.24	$298.24	$327.74
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 $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $493.00 / $1,002.60	Professional		$3.76	$493.00	$1,002.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00