Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.67 / $2,173.00 / $4,841.00	Facility		$301.67	$2,173.00	$4,841.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $75.83 / $79.62 / $150.84	Facility	52	$75.83	$79.62	$150.84
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 $833.45 / $833.45 / $833.45	Facility		$833.45	$833.45	$833.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $293.87 / $881.06	Professional		$125.10	$293.87	$881.06
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $1,905.85 / $1,905.85	Facility		$881.06	$1,905.85	$1,905.85
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $1,967.00 / $6,244.00	Facility		$721.00	$1,967.00	$6,244.00