Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.75 / $1,996.00 / $4,473.00	Facility		$519.75	$1,996.00	$4,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $96.46 / $101.28 / $254.62	Facility	52	$96.46	$101.28	$254.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,694.29 / $1,694.29 / $1,694.29	Facility		$1,694.29	$1,694.29	$1,694.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $495.69 / $1,771.40	Professional		$158.05	$495.69	$1,771.40
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.40 / $4,074.74 / $4,074.74	Facility		$1,771.40	$4,074.74	$4,074.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00