Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.54 / $1,706.00 / $4,473.00	Facility		$353.54	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $223.34 / $241.29 / $265.16	Facility	54	$223.34	$241.29	$265.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $316.70 / $1,468.00	Professional		$276.68	$316.70	$1,468.00
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 $307.62 / $350.23 / $512.26	Professional		$307.62	$350.23	$512.26
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 $278.62 / $398.00 / $583.34	Professional		$278.62	$398.00	$583.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $355.03 / $578.88	Professional		$2.38	$355.03	$578.88
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 $1.62 / $316.55 / $560.58	Professional		$1.62	$316.55	$560.58
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 $291.07 / $378.40 / $602.29	Professional		$291.07	$378.40	$602.29