Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.89 / $1,639.00 / $4,396.00	Facility		$337.89	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $32.77 / $67.58 / $168.77	Facility	53	$32.77	$67.58	$168.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $672.33 / $718.96	Facility		$515.00	$672.33	$718.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $124.83 / $332.88 / $613.01	Professional		$124.83	$332.88	$613.01
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $533.04 / $1,007.60 / $1,007.60	Facility		$533.04	$1,007.60	$1,007.60
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