Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.59 / $1,706.00 / $4,473.00	Facility		$385.59	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $243.32 / $263.17 / $289.19	Facility	54	$243.32	$263.17	$289.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.82 / $344.08 / $717.52	Professional		$291.82	$344.08	$717.52
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 $329.23 / $380.93 / $557.16	Professional		$329.23	$380.93	$557.16
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 $295.82 / $424.15 / $636.22	Professional		$295.82	$424.15	$636.22
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $382.84 / $621.04	Professional		$1.14	$382.84	$621.04
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 / $345.02 / $617.33	Professional		$0.78	$345.02	$617.33
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 $305.89 / $396.62 / $628.57	Professional		$305.89	$396.62	$628.57