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 $114.82 / $131.83 / $223.87	Professional		$114.82	$131.83	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $263.03	Professional		$117.49	$158.49	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $275.42	Professional		$125.89	$177.83	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $141.25 / $177.83	Professional		$1.58	$141.25	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $162.18	Professional		$1.20	$1.20	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $123.03	Professional		$107.15	$107.15	$123.03
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 $112.20 / $162.18 / $251.19	Professional		$112.20	$162.18	$251.19