Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.23 / $1,706.00 / $4,473.00	Facility		$370.23	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $234.97 / $252.68 / $277.67	Facility	54	$234.97	$252.68	$277.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $331.79 / $1,498.00	Professional		$288.83	$331.79	$1,498.00
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 $322.94 / $367.66 / $537.76	Professional		$322.94	$367.66	$537.76
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 $288.11 / $419.88 / $610.89	Professional		$288.11	$419.88	$610.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $375.78 / $597.28	Professional		$4.94	$375.78	$597.28
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 $3.36 / $330.08 / $587.91	Professional		$3.36	$330.08	$587.91
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 $297.30 / $383.04 / $624.34	Professional		$297.30	$383.04	$624.34