Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,412.54	Professional		$602.56	$794.33	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,148.15	Professional		$645.65	$870.96	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,380.38	Professional		$602.56	$912.01	$1,380.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $870.96 / $2,691.53	Professional		$16.98	$870.96	$2,691.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $4,786.30	Professional		$831.76	$1,202.26	$4,786.30
Select Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,412.54	Professional		$549.54	$794.33	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,258.93	Professional		$575.44	$812.83	$1,258.93