Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,698.24 / $5,011.87	Facility		$154.88	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $426.58	Professional		$138.04	$165.96	$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 $138.04 / $165.96 / $263.03	Professional		$138.04	$165.96	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $288.40	Professional		$138.04	$186.21	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $181.97 / $275.42	Professional		$1.17	$181.97	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $263.03	Professional		$186.21	$218.78	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $295.12	Professional		$144.54	$173.78	$295.12
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 $125.89 / $169.82 / $263.03	Professional		$125.89	$169.82	$263.03