Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.69 / $1,560.71 / $4,396.00	Facility		$792.69	$1,560.71	$4,396.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $217.43 / $238.94 / $264.89	Facility	54	$217.43	$238.94	$264.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $312.58 / $1,388.00	Professional		$266.07	$312.58	$1,388.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.66 / $335.85 / $482.80	Professional		$277.66	$335.85	$482.80
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 $267.52 / $384.00 / $573.44	Professional		$267.52	$384.00	$573.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $345.91 / $556.36	Professional		$2.47	$345.91	$556.36
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 $1.68 / $309.08 / $560.42	Professional		$1.68	$309.08	$560.42
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 $279.70 / $363.61 / $587.80	Professional		$279.70	$363.61	$587.80