Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.44 / $1,848.42 / $3,709.00	Facility		$1,030.44	$1,848.42	$3,709.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $373.58 / $410.53 / $1,030.44	Facility	54	$373.58	$410.53	$1,030.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.10 / $557.73 / $2,520.00	Professional		$498.10	$557.73	$2,520.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.44 / $647.84 / $850.44	Professional		$581.44	$647.84	$850.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.68 / $683.99 / $953.97	Professional		$463.68	$683.99	$953.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $690.47 / $1,048.26	Professional		$3.97	$690.47	$1,048.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $542.44 / $1,367.18	Professional		$2.70	$542.44	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.98 / $669.88 / $1,137.34	Professional		$482.98	$669.88	$1,137.34