Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,862.09 / $5,011.87	Facility		$380.19	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $724.44	Professional		$354.81	$407.38	$724.44
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 $407.38 / $489.78 / $741.31	Professional		$407.38	$489.78	$741.31
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 $363.08 / $501.19 / $741.31	Professional		$363.08	$501.19	$741.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $446.68 / $660.69	Professional		$2.34	$446.68	$660.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $562.34 / $630.96	Professional		$213.80	$562.34	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $724.44	Professional		$371.54	$426.58	$724.44
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 $338.84 / $446.68 / $707.95	Professional		$338.84	$446.68	$707.95