Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.55 / $1,639.00 / $4,473.00	Facility		$477.55	$1,639.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.75 / $323.89 / $358.16	Facility	54	$294.75	$323.89	$358.16
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 $3.09 / $554.44 / $949.23	Professional		$3.09	$554.44	$949.23
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 $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00