Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,991.00 / $4,396.00	Facility		$750.00	$1,991.00	$4,396.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $248.89 / $273.50 / $301.27	Facility	54	$248.89	$273.50	$301.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $424.42 / $714.02	Professional		$2.47	$424.42	$714.02
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00