Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,862.09 / $5,011.87	Facility		$165.96	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $302.00	Professional		$125.89	$169.82	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $251.19	Professional		$134.90	$165.96	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $302.00	Professional		$131.83	$199.53	$302.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $190.55 / $776.25	Professional		$3.24	$190.55	$776.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $1,380.38	Professional		$181.97	$263.03	$1,380.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $316.23	Professional		$123.03	$173.78	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $269.15	Professional		$125.89	$177.83	$269.15