Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,862.09 / $5,011.87	Facility		$112.20	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $190.55	Professional		$93.33	$107.15	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $213.80	Professional		$93.33	$123.03	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $194.98	Professional		$97.72	$120.23	$194.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $131.83 / $190.55	Professional		$1.82	$131.83	$190.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $141.25 / $181.97	Professional		$1.38	$141.25	$181.97
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $173.78	Professional		$95.50	$123.03	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $204.17	Professional		$102.33	$125.89	$204.17