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 / $4,730.00	Facility		$1,210.00	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $105.04 / $105.04 / $105.04	Facility	52	$105.04	$105.04	$105.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $42.01 / $42.01 / $42.01	Facility	53	$42.01	$42.01	$42.01
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 $5.68 / $263.18 / $1,120.63	Professional		$5.68	$263.18	$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