Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.10 / $1,706.00 / $4,473.00	Facility		$303.10	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $187.26 / $205.79 / $227.33	Facility	54	$187.26	$205.79	$227.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.43 / $264.77 / $461.17	Professional		$206.43	$264.77	$461.17
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 $257.68 / $291.13 / $429.10	Professional		$257.68	$291.13	$429.10
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 $224.18 / $320.12 / $486.07	Professional		$224.18	$320.12	$486.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $292.33 / $493.00	Professional		$2.12	$292.33	$493.00
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 $1.44 / $270.20 / $486.06	Professional		$1.44	$270.20	$486.06
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 $231.43 / $298.30 / $489.23	Professional		$231.43	$298.30	$489.23