Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,639.00 / $4,396.00	Facility		$750.00	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $67.01 / $73.64 / $97.00	Facility	54	$67.01	$73.64	$97.00
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 $80.98 / $80.98 / $80.98	Facility		$80.98	$80.98	$80.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $129.82 / $208.69	Professional		$1.41	$129.82	$208.69
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