Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.72 / $1,706.00 / $4,473.00	Facility		$556.72	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $350.21 / $379.96 / $417.54	Facility	54	$350.21	$379.96	$417.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.47 / $496.49 / $1,836.70	Professional		$442.47	$496.49	$1,836.70
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 $477.75 / $564.91 / $796.95	Professional		$477.75	$564.91	$796.95
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 $446.83 / $644.07 / $923.61	Professional		$446.83	$644.07	$923.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $549.76 / $865.87	Professional		$7.14	$549.76	$865.87
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 $4.86 / $473.61 / $852.20	Professional		$4.86	$473.61	$852.20
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 $456.42 / $603.05 / $945.00	Professional		$456.42	$603.05	$945.00