Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.02 / $1,706.00 / $4,473.00	Facility		$289.02	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $189.70 / $197.26 / $216.77	Facility	54	$189.70	$197.26	$216.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $263.01 / $662.38	Professional		$242.16	$263.01	$662.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.01 / $297.16 / $434.64	Professional		$261.01	$297.16	$434.64
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 $223.87 / $332.38 / $476.89	Professional		$223.87	$332.38	$476.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $290.88 / $470.63	Professional		$1.14	$290.88	$470.63
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 $0.78 / $268.93 / $460.58	Professional		$0.78	$268.93	$460.58
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 $231.30 / $308.39 / $485.74	Professional		$231.30	$308.39	$485.74