Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.05 / $1,706.00 / $4,473.00	Facility		$280.05	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $177.91 / $191.14 / $210.04	Facility	54	$177.91	$191.14	$210.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $253.57 / $1,170.00	Professional		$215.47	$253.57	$1,170.00
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 $245.36 / $279.35 / $408.59	Professional		$245.36	$279.35	$408.59
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 $216.72 / $311.43 / $462.08	Professional		$216.72	$311.43	$462.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.94 / $281.80 / $458.46	Professional		$1.94	$281.80	$458.46
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 $1.32 / $256.18 / $449.48	Professional		$1.32	$256.18	$449.48
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 $220.01 / $289.57 / $473.13	Professional		$220.01	$289.57	$473.13