Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,454.71 / $5,011.87	Facility		$524.81	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,047.13	Professional		$467.74	$562.34	$1,047.13
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 $524.81 / $630.96 / $933.25	Professional		$524.81	$630.96	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $977.24	Professional		$467.74	$645.65	$977.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $630.96 / $1,000.00	Professional		$3.63	$630.96	$1,000.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,380.38	Professional		$724.44	$891.25	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $1,000.00	Professional		$478.63	$588.84	$1,000.00
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 $426.58 / $575.44 / $891.25	Professional		$426.58	$575.44	$891.25