Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.40 / $1,706.00 / $4,396.00	Facility		$861.40	$1,706.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $199.69 / $199.69 / $219.44	Facility	52	$199.69	$199.69	$219.44
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $299.52 / $299.52 / $329.15	Facility	54	$299.52	$299.52	$329.15
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 $3.20 / $414.03 / $769.60	Professional		$3.20	$414.03	$769.60
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