Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $2,173.00 / $4,473.00	Facility		$950.00	$2,173.00	$4,473.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $101.82 / $101.82 / $101.82	Facility	52	$101.82	$101.82	$101.82
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 $909.22 / $1,186.98 / $1,269.31	Facility		$909.22	$1,186.98	$1,269.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.68 / $239.32 / $1,120.63	Professional		$1.68	$239.32	$1,120.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.86 / $2,096.52 / $2,096.52	Facility		$933.86	$2,096.52	$2,096.52
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $3,658.00	Facility		$721.00	$2,200.00	$3,658.00