Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,862.09 / $5,011.87	Facility		$125.89	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $112.20 / $239.88	Professional		$46.77	$112.20	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $7,244.36	Facility		$3,890.45	$5,248.07	$7,244.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $114.82 / $190.55	Professional		$48.98	$114.82	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $134.90 / $218.78	Professional		$42.66	$134.90	$218.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $147.91 / $776.25	Professional		$48.98	$147.91	$776.25
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $173.78 / $1,023.29	Professional		$60.26	$173.78	$1,023.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $117.49 / $117.49	Professional		$40.74	$117.49	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $10,000.00	Facility		$407.38	$1,584.89	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $117.49 / $199.53	Professional		$46.77	$117.49	$199.53