Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,255.00 / $4,396.00	Facility		$97.00	$1,255.00	$4,396.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $190.13 / $208.55 / $229.18	Facility	54	$190.13	$208.55	$229.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.40 / $275.42 / $1,331.00	Professional		$222.40	$275.42	$1,331.00
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 $260.35 / $296.39 / $433.54	Professional		$260.35	$296.39	$433.54
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 $225.75 / $325.73 / $501.44	Professional		$225.75	$325.73	$501.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $311.67 / $547.72	Professional		$1.06	$311.67	$547.72
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 $0.72 / $294.08 / $537.17	Professional		$0.72	$294.08	$537.17
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 $237.60 / $323.19 / $535.32	Professional		$237.60	$323.19	$535.32