Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,862.09 / $5,011.87	Facility		$275.42	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $549.54	Professional		$239.88	$281.84	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $478.63	Professional		$263.03	$316.23	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $512.86	Professional		$239.88	$331.13	$512.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $309.03 / $467.74	Professional		$2.14	$309.03	$467.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $489.78	Professional		$213.80	$407.38	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $323.59 / $524.81	Professional		$269.15	$323.59	$524.81
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 $218.78 / $288.40 / $467.74	Professional		$218.78	$288.40	$467.74