Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.66 / $1,639.00 / $4,396.00	Facility		$453.66	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $281.04 / $308.83 / $340.25	Facility	54	$281.04	$308.83	$340.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.99 / $411.78 / $832.05	Professional		$360.99	$411.78	$832.05
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 $430.12 / $466.09 / $640.88	Professional		$430.12	$466.09	$640.88
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 $353.31 / $514.73 / $741.21	Professional		$353.31	$514.73	$741.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.53 / $453.33 / $736.58	Professional		$3.53	$453.33	$736.58
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 $2.40 / $409.21 / $740.70	Professional		$2.40	$409.21	$740.70
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 $374.02 / $475.12 / $769.23	Professional		$374.02	$475.12	$769.23