Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $3,162.28	Professional		$398.11	$1,819.70	$3,162.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,778.28 / $3,548.13	Professional		$489.78	$1,778.28	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,862.09 / $3,630.78	Professional		$436.52	$1,862.09	$3,630.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $1,905.46 / $3,019.95	Professional		$263.03	$1,905.46	$3,019.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $524.81 / $2,884.03	Professional		$6.17	$524.81	$2,884.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,905.46 / $1,905.46	Professional		$354.81	$1,905.46	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,905.46 / $3,630.78	Professional		$436.52	$1,905.46	$3,630.78