Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.58 / $3,959.00 / $10,300.00	Facility		$320.58	$3,959.00	$10,300.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.73 / $240.44 / $264.23	Facility	54	$222.73	$240.44	$264.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.11 / $316.95 / $583.39	Professional		$271.11	$316.95	$583.39
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 $301.39 / $348.71 / $510.04	Professional		$301.39	$348.71	$510.04
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 $266.25 / $383.71 / $581.29	Professional		$266.25	$383.71	$581.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $353.66 / $574.78	Professional		$5.12	$353.66	$574.78
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 $3.48 / $321.51 / $563.51	Professional		$3.48	$321.51	$563.51
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 $265.32 / $358.68 / $540.38	Professional		$265.32	$358.68	$540.38