Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,642.00 / $4,861.00 / $13,804.00	Facility		$2,642.00	$4,861.00	$13,804.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.24 / $283.24 / $305.89	Facility	52	$283.24	$283.24	$305.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $113.29 / $113.29 / $122.36	Facility	53	$113.29	$113.29	$122.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,224.00 / $14,662.00 / $20,098.00	Facility		$9,224.00	$14,662.00	$20,098.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,542.00 / $15,557.00 / $19,418.00	Facility		$4,542.00	$15,557.00	$19,418.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $550.00 / $5,225.51	Professional		$7.03	$550.00	$5,225.51
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,019.62 / $6,301.21 / $6,301.21	Facility		$4,019.62	$6,301.21	$6,301.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,945.00 / $17,870.00 / $33,273.00	Facility		$2,945.00	$17,870.00	$33,273.00