Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,862.09 / $5,011.87	Facility		$204.17	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $426.58	Professional		$181.97	$218.78	$426.58
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 $181.97 / $239.88 / $363.08	Professional		$181.97	$239.88	$363.08
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 $190.55 / $263.03 / $389.05	Professional		$190.55	$263.03	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $239.88 / $363.08	Professional		$2.34	$239.88	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $346.74	Professional		$213.80	$288.40	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $380.19	Professional		$194.98	$229.09	$380.19
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 $169.82 / $229.09 / $354.81	Professional		$169.82	$229.09	$354.81