Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,676.00 / $4,630.00 / $10,300.00	Facility		$1,676.00	$4,630.00	$10,300.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $354.34 / $354.34 / $382.69	Facility	52	$354.34	$354.34	$382.69
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.74 / $141.74 / $153.07	Facility	53	$141.74	$141.74	$153.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,224.00 / $17,593.00 / $24,862.00	Facility		$9,224.00	$17,593.00	$24,862.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,590.00 / $14,309.00 / $19,418.00	Facility		$11,590.00	$14,309.00	$19,418.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $770.79 / $10,701.08	Professional		$8.31	$770.79	$10,701.08
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $8,231.60 / $12,533.37 / $12,533.37	Facility		$8,231.60	$12,533.37	$12,533.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,945.00 / $17,870.00 / $35,307.00	Facility		$2,945.00	$17,870.00	$35,307.00