Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $2,240.00 / $4,396.00	Facility		$911.00	$2,240.00	$4,396.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $358.55 / $390.67 / $429.31	Facility	54	$358.55	$390.67	$429.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $501.23 / $903.78	Professional		$455.06	$501.23	$903.78
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 $554.95 / $592.70 / $820.71	Professional		$554.95	$592.70	$820.71
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 $449.58 / $659.00 / $944.47	Professional		$449.58	$659.00	$944.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $641.50 / $1,004.42	Professional		$6.17	$641.50	$1,004.42
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 $4.20 / $532.16 / $1,367.18	Professional		$4.20	$532.16	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.78 / $627.21 / $860.72	Professional		$459.78	$627.21	$860.72