Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.97 / $1,706.00 / $4,473.00	Facility		$356.97	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $222.62 / $243.63 / $267.73	Facility	54	$222.62	$243.63	$267.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.76 / $318.66 / $604.23	Professional		$272.76	$318.66	$604.23
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 $324.23 / $350.18 / $510.60	Professional		$324.23	$350.18	$510.60
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 $278.18 / $399.10 / $587.11	Professional		$278.18	$399.10	$587.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $356.99 / $579.74	Professional		$2.65	$356.99	$579.74
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 / $316.95 / $569.21	Professional		$1.80	$316.95	$569.21
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 $289.56 / $375.43 / $602.92	Professional		$289.56	$375.43	$602.92