Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.61 / $1,639.00 / $4,396.00	Facility		$522.61	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $319.60 / $351.21 / $391.96	Facility	54	$319.60	$351.21	$391.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.27 / $462.69 / $1,022.41	Professional		$401.27	$462.69	$1,022.41
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 $490.53 / $528.59 / $726.81	Professional		$490.53	$528.59	$726.81
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 $405.37 / $601.00 / $862.30	Professional		$405.37	$601.00	$862.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $607.15 / $1,002.60	Professional		$5.73	$607.15	$1,002.60
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 $3.90 / $493.63 / $1,367.18	Professional		$3.90	$493.63	$1,367.18
United Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $1,925.00 / $4,715.00	Facility		$408.00	$1,925.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.69 / $570.53 / $882.36	Professional		$433.69	$570.53	$882.36