Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $4,365.16 / $10,232.93	Facility		$95.50	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $257.04	Professional		$87.10	$125.89	$257.04
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 $81.28 / $123.03 / $213.80	Professional		$81.28	$123.03	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $223.87	Professional		$93.33	$134.90	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $239.88	Professional		$95.50	$144.54	$239.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $234.42	Professional		$128.82	$144.54	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $208.93	Professional		$85.11	$154.88	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $218.78	Professional		$97.72	$134.90	$218.78