Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $577.20 / $577.20 / $686.87	Facility	54	$577.20	$577.20	$686.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.69 / $875.54 / $1,635.00	Professional		$713.69	$875.54	$1,635.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.92 / $979.71 / $1,274.54	Professional		$728.92	$979.71	$1,274.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,203.55 / $2,203.55 / $2,203.55	Facility		$2,203.55	$2,203.55	$2,203.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.01 / $1,013.43 / $1,385.27	Professional		$694.01	$1,013.43	$1,385.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $39.00 / $897.56 / $2,561.73	Professional		$39.00	$897.56	$2,561.73
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,445.97 / $4,445.97 / $4,445.97	Facility		$4,445.97	$4,445.97	$4,445.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $596.67 / $3,451.92	Professional		$19.50	$596.67	$3,451.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.18 / $1,098.58 / $1,774.14	Professional		$910.18	$1,098.58	$1,774.14