Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $373.95 / $1,706.00 / $4,473.00	Facility		$373.95	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $228.06 / $250.61 / $280.45	Facility	54	$228.06	$250.61	$280.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $334.15 / $1,479.00	Professional		$286.87	$334.15	$1,479.00
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 $313.95 / $357.43 / $522.79	Professional		$313.95	$357.43	$522.79
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 $280.87 / $400.98 / $601.48	Professional		$280.87	$400.98	$601.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $366.19 / $601.79	Professional		$1.23	$366.19	$601.79
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 $0.84 / $334.33 / $610.32	Professional		$0.84	$334.33	$610.32
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 $289.55 / $374.96 / $601.42	Professional		$289.55	$374.96	$601.42