Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $79.43	Professional		$37.15	$43.65	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $97.72	Professional		$45.71	$60.26	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $74.13	Professional		$42.66	$51.29	$74.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $0.72	Professional		$0.56	$0.56	$0.72
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $0.48 / $0.48	Professional		$0.48	$0.48	$0.48
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $42.66	Professional		$38.02	$38.02	$42.66
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 $42.66 / $56.23 / $79.43	Professional		$42.66	$56.23	$79.43