Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.48 / $1,706.00 / $4,473.00	Facility		$407.48	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.90 / $278.10 / $305.61	Facility	54	$255.90	$278.10	$305.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $362.98 / $1,748.00	Professional		$311.50	$362.98	$1,748.00
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 $351.57 / $400.26 / $585.44	Professional		$351.57	$400.26	$585.44
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 $315.50 / $452.48 / $672.34	Professional		$315.50	$452.48	$672.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $405.12 / $653.17	Professional		$2.21	$405.12	$653.17
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 $1.50 / $355.76 / $645.48	Professional		$1.50	$355.76	$645.48
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 $327.00 / $427.67 / $667.15	Professional		$327.00	$427.67	$667.15