Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.54 / $1,706.00 / $4,473.00	Facility		$519.54	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $347.75 / $354.59 / $389.66	Facility	54	$347.75	$354.59	$389.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.13 / $490.58 / $2,502.30	Professional		$444.13	$490.58	$2,502.30
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 $511.22 / $551.82 / $791.68	Professional		$511.22	$551.82	$791.68
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 $395.81 / $588.83 / $867.00	Professional		$395.81	$588.83	$867.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $528.35 / $816.78	Professional		$1.76	$528.35	$816.78
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 $1.20 / $473.47 / $794.88	Professional		$1.20	$473.47	$794.88
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 $424.10 / $551.33 / $875.08	Professional		$424.10	$551.33	$875.08