Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.63 / $1,706.00 / $4,473.00	Facility		$260.63	$1,706.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $165.13 / $177.89 / $195.47	Facility	54	$165.13	$177.89	$195.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $237.18 / $1,113.00	Professional		$209.50	$237.18	$1,113.00
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 $215.56 / $239.27 / $379.76	Professional		$215.56	$239.27	$379.76
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 $207.26 / $306.11 / $435.50	Professional		$207.26	$306.11	$435.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $259.82 / $424.96	Professional		$2.29	$259.82	$424.96
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 $1.56 / $232.22 / $404.01	Professional		$1.56	$232.22	$404.01
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 $216.28 / $283.60 / $446.68	Professional		$216.28	$283.60	$446.68