Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,127.00 / $3,929.00 / $7,802.00	Facility		$2,127.00	$3,929.00	$7,802.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $652.42 / $652.42 / $776.39	Facility	54	$652.42	$652.42	$776.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.10 / $941.74 / $1,380.77	Professional		$761.10	$941.74	$1,380.77
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $114.17 / $141.26 / $161.19	Professional	55	$114.17	$141.26	$161.19
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 $748.99 / $992.99 / $1,205.08	Professional		$748.99	$992.99	$1,205.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,959.11 / $3,959.11 / $3,959.11	Facility		$3,959.11	$3,959.11	$3,959.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.28 / $923.53 / $1,565.82	Professional		$698.28	$923.53	$1,565.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $678.25 / $1,192.30 / $5,186.93	Professional		$678.25	$1,192.30	$5,186.93
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,702.41 / $5,702.41 / $5,702.41	Facility		$5,702.41	$5,702.41	$5,702.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $713.95 / $815.34 / $6,224.31	Professional		$713.95	$815.34	$6,224.31
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 $841.48 / $952.13 / $1,534.51	Professional		$841.48	$952.13	$1,534.51