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 $132.09 / $132.09 / $132.09	Facility	52	$132.09	$132.09	$132.09
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.84 / $52.84 / $52.84	Facility	53	$52.84	$52.84	$52.84
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 $665.97 / $869.42 / $929.73	Facility		$665.97	$869.42	$929.73
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $303.83 / $891.51	Professional		$215.37	$303.83	$891.51
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $685.78 / $1,303.09 / $1,303.09	Facility		$685.78	$1,303.09	$1,303.09
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