Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.47 / $1,706.00 / $4,473.00	Facility		$338.47	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $221.56 / $231.01 / $253.85	Facility	54	$221.56	$231.01	$253.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $303.07 / $1,385.00	Professional		$266.35	$303.07	$1,385.00
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 $304.63 / $349.93 / $507.27	Professional		$304.63	$349.93	$507.27
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 $274.39 / $389.24 / $560.80	Professional		$274.39	$389.24	$560.80
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $342.02 / $549.85	Professional		$3.44	$342.02	$549.85
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 $2.34 / $314.20 / $530.49	Professional		$2.34	$314.20	$530.49
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 $273.60 / $351.29 / $573.94	Professional		$273.60	$351.29	$573.94