Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.00 / $2,173.00 / $4,841.00	Facility		$1,210.00	$2,173.00	$4,841.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $284.32 / $284.32 / $312.44	Facility	52	$284.32	$284.32	$312.44
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $426.48 / $426.48 / $468.66	Facility	54	$426.48	$426.48	$468.66
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 $4.40 / $658.81 / $1,004.69	Professional		$4.40	$658.81	$1,004.69
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 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00