Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.95 / $1,706.00 / $4,473.00	Facility		$346.95	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $219.32 / $236.80 / $260.20	Facility	54	$219.32	$236.80	$260.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.11 / $309.30 / $580.52	Professional		$258.11	$309.30	$580.52
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 $301.63 / $343.41 / $502.28	Professional		$301.63	$343.41	$502.28
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 $269.08 / $388.07 / $572.48	Professional		$269.08	$388.07	$572.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $348.58 / $559.84	Professional		$2.56	$348.58	$559.84
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 $1.74 / $307.75 / $550.40	Professional		$1.74	$307.75	$550.40
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 $282.30 / $363.12 / $582.75	Professional		$282.30	$363.12	$582.75