Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.45 / $1,639.00 / $4,473.00	Facility		$253.45	$1,639.00	$4,473.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $151.97 / $166.99 / $190.09	Facility	54	$151.97	$166.99	$190.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.71 / $226.98 / $1,047.00	Professional		$198.71	$226.98	$1,047.00
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 $196.03 / $229.64 / $349.27	Professional		$196.03	$229.64	$349.27
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 $195.78 / $287.52 / $418.20	Professional		$195.78	$287.52	$418.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.38 / $250.79 / $403.90	Professional		$2.38	$250.79	$403.90
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 $1.62 / $215.17 / $395.99	Professional		$1.62	$215.17	$395.99
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 $207.10 / $268.52 / $431.54	Professional		$207.10	$268.52	$431.54