Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $340.57 / $340.57 / $374.25	Facility	54	$340.57	$340.57	$374.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $480.15 / $2,444.67	Professional		$434.84	$480.15	$2,444.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.84 / $540.42 / $775.05	Professional		$509.84	$540.42	$775.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.01 / $882.01 / $882.01	Facility		$882.01	$882.01	$882.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.90 / $565.89 / $848.30	Professional		$382.90	$565.89	$848.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.60 / $541.69 / $1,002.60	Professional		$1.60	$541.69	$1,002.60
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,768.74 / $1,768.74 / $1,768.74	Facility		$1,768.74	$1,768.74	$1,768.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $463.49 / $1,367.18	Professional		$1.20	$463.49	$1,367.18
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 $407.81 / $530.15 / $842.96	Professional		$407.81	$530.15	$842.96