Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,365.16 / $10,232.93	Facility		$66.07	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $158.49	Professional		$63.10	$91.20	$158.49
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 $61.66 / $87.10 / $120.23	Professional		$61.66	$87.10	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $165.96	Professional		$69.18	$104.71	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $102.33 / $169.82	Professional		$1.17	$102.33	$169.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $169.82	Professional		$100.00	$123.03	$169.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $112.20 / $151.36	Professional		$66.07	$112.20	$151.36
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 $61.66 / $93.33 / $154.88	Professional		$61.66	$93.33	$154.88