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 / $4,841.00	Facility		$950.00	$2,173.00	$4,841.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $150.83 / $150.83 / $150.83	Facility	52	$150.83	$150.83	$150.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,452.00 / $5,379.00 / $8,190.00	Facility		$4,452.00	$5,379.00	$8,190.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,420.85 / $5,771.43 / $6,171.74	Facility		$4,420.85	$5,771.43	$6,171.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $332.40 / $5,591.82	Professional		$6.40	$332.40	$5,591.82
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,659.85 / $6,578.93 / $6,578.93	Facility		$4,659.85	$6,578.93	$6,578.93
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00