Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.92 / $1,706.00 / $4,473.00	Facility		$279.92	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $175.69 / $191.04 / $209.94	Facility	54	$175.69	$191.04	$209.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $253.55 / $508.85	Professional		$214.00	$253.55	$508.85
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 $242.37 / $275.94 / $403.60	Professional		$242.37	$275.94	$403.60
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 $216.49 / $308.85 / $461.86	Professional		$216.49	$308.85	$461.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.18 / $277.08 / $458.54	Professional		$3.18	$277.08	$458.54
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 $2.16 / $251.89 / $449.55	Professional		$2.16	$251.89	$449.55
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 $221.72 / $287.12 / $456.33	Professional		$221.72	$287.12	$456.33