Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $643.70 / $643.70 / $766.00	Facility	54	$643.70	$643.70	$766.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.03 / $858.26 / $1,351.75	Professional		$616.03	$858.26	$1,351.75
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 $677.82 / $804.66 / $1,091.98	Professional		$677.82	$804.66	$1,091.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,277.64 / $1,277.64 / $1,277.64	Facility		$1,277.64	$1,277.64	$1,277.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.13 / $866.00 / $1,383.08	Professional		$599.13	$866.00	$1,383.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $944.72 / $1,459.63	Professional		$15.48	$944.72	$1,459.63
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,520.62 / $2,520.62 / $2,520.62	Facility		$2,520.62	$2,520.62	$2,520.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.74 / $790.20 / $1,966.85	Professional		$7.74	$790.20	$1,966.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,282.00 / $3,000.00 / $7,138.00	Facility		$1,282.00	$3,000.00	$7,138.00
United Facility/Professional Professional Modifier Low / Median / High Price $630.41 / $793.44 / $1,394.39	Professional		$630.41	$793.44	$1,394.39