Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.10 / $1,706.00 / $4,473.00	Facility		$309.10	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $188.53 / $207.17 / $231.83	Facility	54	$188.53	$207.17	$231.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.87 / $276.93 / $1,327.00	Professional		$229.87	$276.93	$1,327.00
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 $259.35 / $290.66 / $431.87	Professional		$259.35	$290.66	$431.87
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 $227.22 / $326.43 / $494.56	Professional		$227.22	$326.43	$494.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $297.64 / $493.00	Professional		$2.82	$297.64	$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 $1.92 / $270.88 / $494.09	Professional		$1.92	$270.88	$494.09
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 $217.80 / $311.85 / $470.40	Professional		$217.80	$311.85	$470.40