Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $4,466.84 / $10,232.93	Facility		$549.54	$4,466.84	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $1,445.44	Professional		$457.09	$602.56	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,182.57 / $17,378.01	Facility		$7,943.28	$13,182.57	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $954.99	Professional		$512.86	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $812.83	Professional		$436.52	$524.81	$812.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $549.54 / $776.25	Professional		$8.32	$549.54	$776.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $660.69	Professional		$7.08	$7.08	$660.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
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 $436.52 / $660.69 / $891.25	Professional		$436.52	$660.69	$891.25