Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,862.09 / $5,011.87	Facility		$112.20	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $416.87	Professional		$75.86	$112.20	$416.87
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 $81.28 / $112.20 / $144.54	Professional		$81.28	$112.20	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $199.53	Professional		$79.43	$114.82	$199.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $109.65 / $165.96	Professional		$0.95	$109.65	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $186.21	Professional		$107.15	$141.25	$186.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $213.80	Professional		$72.44	$123.03	$213.80
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 $75.86 / $112.20 / $177.83	Professional		$75.86	$112.20	$177.83