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 $616.60 / $707.95 / $1,412.54	Professional		$616.60	$707.95	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,258.93	Professional		$724.44	$1,000.00	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,258.93	Professional		$602.56	$812.83	$1,258.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $562.34 / $977.24	Professional		$6.76	$562.34	$977.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $870.96	Professional		$5.75	$5.75	$870.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,258.93	Professional		$575.44	$575.44	$1,258.93
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 $575.44 / $812.83 / $1,202.26	Professional		$575.44	$812.83	$1,202.26