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 $167.62 / $167.62 / $167.62	Facility	52	$167.62	$167.62	$167.62
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $67.05 / $67.05 / $67.05	Facility	53	$67.05	$67.05	$67.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,474.00 / $4,589.00 / $6,006.00	Facility		$3,474.00	$4,589.00	$6,006.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,973.63 / $2,576.58 / $2,755.30	Facility		$1,973.63	$2,576.58	$2,755.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $382.00 / $2,489.23	Professional		$6.80	$382.00	$2,489.23
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,074.36 / $4,204.68 / $4,204.68	Facility		$2,074.36	$4,204.68	$4,204.68
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $2,299.00 / $7,138.00	Facility		$888.00	$2,299.00	$7,138.00