Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,862.09 / $5,011.87	Facility		$295.12	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $602.56	Professional		$269.15	$316.23	$602.56
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 $302.00 / $363.08 / $537.03	Professional		$302.00	$363.08	$537.03
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 $275.42 / $371.54 / $562.34	Professional		$275.42	$371.54	$562.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $346.74 / $524.81	Professional		$3.55	$346.74	$524.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $512.86	Professional		$213.80	$436.52	$512.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $575.44	Professional		$288.40	$338.84	$575.44
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 $245.47 / $331.13 / $512.86	Professional		$245.47	$331.13	$512.86