Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.89 / $2,173.00 / $4,730.00	Facility		$413.89	$2,173.00	$4,730.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.32 / $244.30 / $273.89	Facility	54	$222.32	$244.30	$273.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $324.06 / $1,605.95	Professional		$276.31	$324.06	$1,605.95
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 $304.95 / $352.96 / $507.83	Professional		$304.95	$352.96	$507.83
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 $281.58 / $404.17 / $586.32	Professional		$281.58	$404.17	$586.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $357.34 / $578.50	Professional		$2.12	$357.34	$578.50
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 $1.44 / $318.14 / $588.05	Professional		$1.44	$318.14	$588.05
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 $296.45 / $391.69 / $614.25	Professional		$296.45	$391.69	$614.25