Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,862.09 / $5,011.87	Facility		$114.82	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $218.78	Professional		$83.18	$114.82	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $208.93	Professional		$100.00	$138.04	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $234.42	Professional		$89.13	$134.90	$234.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $117.49 / $177.83	Professional		$0.45	$117.49	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $190.55	Professional		$123.03	$128.82	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $218.78	Professional		$83.18	$128.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,290.87 / $6,456.54	Facility		$724.44	$2,290.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $194.98	Professional		$81.28	$123.03	$194.98