Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,862.09 / $5,011.87	Facility		$501.19	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,071.52	Professional		$446.68	$537.03	$1,071.52
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 $501.19 / $645.65 / $912.01	Professional		$501.19	$645.65	$912.01
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 $457.09 / $645.65 / $954.99	Professional		$457.09	$645.65	$954.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $575.44 / $870.96	Professional		$7.24	$575.44	$870.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $691.83 / $851.14	Professional		$213.80	$691.83	$851.14
Select Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $954.99	Professional		$457.09	$562.34	$954.99
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 / $870.96	Professional		$426.58	$575.44	$870.96