Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,238.72 / $5,011.87	Facility		$239.88	$2,238.72	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $218.78 / $457.09	Professional		$91.20	$218.78	$457.09
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 $114.82 / $251.19 / $457.09	Professional		$114.82	$251.19	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $398.11	Professional		$104.71	$239.88	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $251.19 / $398.11	Professional		$2.69	$251.19	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $125.89 / $371.54	Professional		$1.82	$125.89	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $251.19 / $251.19	Professional		$83.18	$251.19	$251.19
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 $107.15 / $251.19 / $426.58	Professional		$107.15	$251.19	$426.58