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 $72.44 / $85.11 / $416.87	Professional		$72.44	$85.11	$416.87
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 $81.28 / $112.20 / $162.18	Professional		$81.28	$112.20	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $151.36	Professional		$81.28	$102.33	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $83.18 / $123.03	Professional		$2.45	$83.18	$123.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $104.71	Professional		$2.09	$2.09	$104.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $74.13	Professional		$69.18	$69.18	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $6,606.93	Facility		$1,071.52	$2,570.40	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $151.36	Professional		$79.43	$107.15	$151.36