Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $316.23	Professional		$109.65	$181.97	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $436.52	Professional		$177.83	$239.88	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $501.19 / $794.33	Professional		$112.20	$501.19	$794.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $204.17	Professional		$102.33	$190.55	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $316.23	Professional		$154.88	$208.93	$316.23