Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $4,365.16 / $10,232.93	Facility		$134.90	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $407.38	Professional		$131.83	$229.09	$407.38
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 $134.90 / $177.83 / $275.42	Professional		$134.90	$177.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $407.38	Professional		$144.54	$251.19	$407.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $234.42 / $389.05	Professional		$1.62	$234.42	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $446.68	Professional		$204.17	$239.88	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $295.12 / $389.05	Professional		$138.04	$295.12	$389.05
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 $131.83 / $223.87 / $398.11	Professional		$131.83	$223.87	$398.11