Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $449.38 / $449.38 / $449.38	Facility	52	$449.38	$449.38	$449.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,386.00 / $14,662.00 / $23,909.00	Facility		$7,386.00	$14,662.00	$23,909.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,841.06 / $17,841.06 / $17,841.06	Facility		$17,841.06	$17,841.06	$17,841.06
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $1,004.32 / $22,902.30	Professional		$13.58	$1,004.32	$22,902.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $18,321.84 / $22,245.68 / $22,245.68	Facility		$18,321.84	$22,245.68	$22,245.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,424.00 / $6,947.00 / $25,275.00	Facility		$3,424.00	$6,947.00	$25,275.00