Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.90 / $2,173.00 / $4,841.00	Facility		$501.90	$2,173.00	$4,841.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $311.83 / $342.55 / $376.43	Facility	54	$311.83	$342.55	$376.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.04 / $456.73 / $2,244.88	Professional		$400.04	$456.73	$2,244.88
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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.86 / $505.30 / $710.74	Professional		$470.86	$505.30	$710.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.61 / $571.15 / $822.45	Professional		$393.61	$571.15	$822.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $565.64 / $952.31	Professional		$4.41	$565.64	$952.31
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $470.94 / $1,367.18	Professional		$3.00	$470.94	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $2,947.00 / $7,221.00	Facility		$1,282.00	$2,947.00	$7,221.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.69 / $539.99 / $847.36	Professional		$408.69	$539.99	$847.36