Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.16 / $1,706.00 / $4,473.00	Facility		$328.16	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $210.74 / $223.97 / $246.12	Facility	54	$210.74	$223.97	$246.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $328.16 / $1,396.00	Professional		$280.99	$328.16	$1,396.00
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 $290.31 / $404.73 / $491.17	Professional		$290.31	$404.73	$491.17
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 $258.38 / $415.13 / $558.00	Professional		$258.38	$415.13	$558.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $329.01 / $529.88	Professional		$2.65	$329.01	$529.88
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 $1.80 / $298.52 / $519.50	Professional		$1.80	$298.52	$519.50
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.35 / $385.46 / $574.20	Professional		$285.35	$385.46	$574.20