Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $741.31 / $812.83	Facility		$660.69	$741.31	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,548.82	Professional		$691.83	$891.25	$1,548.82
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 $724.44 / $1,000.00 / $1,584.89	Professional		$724.44	$1,000.00	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,621.81	Professional		$776.25	$1,096.48	$1,621.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $954.99 / $1,445.44	Professional		$18.62	$954.99	$1,445.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,380.38	Professional		$676.08	$933.25	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,548.82	Professional		$616.60	$912.01	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,513.56	Professional		$724.44	$1,047.13	$1,513.56