Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.16 / $1,706.00 / $4,473.00	Facility		$330.16	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $215.42 / $225.34 / $247.62	Facility	54	$215.42	$225.34	$247.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $287.41 / $492.53	Professional		$237.75	$287.41	$492.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.31 / $335.07 / $490.08	Professional		$294.31	$335.07	$490.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.65 / $135.65 / $135.65	Facility		$135.65	$135.65	$135.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.67 / $363.18 / $544.76	Professional		$253.67	$363.18	$544.76
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $315.77 / $521.52	Professional		$3.09	$315.77	$521.52
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $265.11 / $265.11 / $265.11	Facility		$265.11	$265.11	$265.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $293.06 / $505.82	Professional		$2.10	$293.06	$505.82
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.30 / $327.64 / $548.10	Professional		$252.30	$327.64	$548.10