Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.23 / $1,706.00 / $4,473.00	Facility		$538.23	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $330.74 / $363.44 / $403.67	Facility	54	$330.74	$363.44	$403.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.10 / $484.59 / $2,369.48	Professional		$423.10	$484.59	$2,369.48
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 $500.43 / $547.94 / $753.42	Professional		$500.43	$547.94	$753.42
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 $416.50 / $610.00 / $872.27	Professional		$416.50	$610.00	$872.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $607.42 / $1,002.60	Professional		$5.56	$607.42	$1,002.60
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 $3.78 / $505.20 / $1,367.18	Professional		$3.78	$505.20	$1,367.18
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 $439.89 / $573.59 / $903.41	Professional		$439.89	$573.59	$903.41