Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.61 / $2,173.00 / $4,841.00	Facility		$463.61	$2,173.00	$4,841.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $292.08 / $316.42 / $347.71	Facility	54	$292.08	$316.42	$347.71
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 $2.65 / $534.51 / $911.45	Professional		$2.65	$534.51	$911.45
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 $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00