Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $177.83	Professional		$30.90	$39.81	$177.83
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 $36.31 / $47.86 / $74.13	Professional		$36.31	$47.86	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $77.62	Professional		$32.36	$44.67	$77.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $204.17	Professional		$26.92	$40.74	$204.17
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $204.17	Professional		$44.67	$44.67	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.11	Professional		$30.20	$30.20	$33.11
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 $33.11 / $41.69 / $66.07	Professional		$33.11	$41.69	$66.07