Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,862.09 / $5,011.87	Facility		$512.86	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $1,023.29	Professional		$467.74	$537.03	$1,023.29
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 $524.81 / $660.69 / $933.25	Professional		$524.81	$660.69	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $954.99	Professional		$478.63	$645.65	$954.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $588.84 / $891.25	Professional		$5.37	$588.84	$891.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $724.44 / $870.96	Professional		$213.80	$724.44	$870.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $977.24	Professional		$478.63	$575.44	$977.24
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 $436.52 / $575.44 / $891.25	Professional		$436.52	$575.44	$891.25