Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $72.44	Professional		$33.88	$39.81	$72.44
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 $42.66 / $54.95 / $81.28	Professional		$42.66	$54.95	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $67.61	Professional		$38.90	$45.71	$67.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.28 / $0.36	Professional		$0.28	$0.28	$0.36
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 $0.24 / $0.24 / $0.24	Professional		$0.24	$0.24	$0.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $38.90	Professional		$34.67	$34.67	$38.90
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 $38.90 / $51.29 / $70.79	Professional		$38.90	$51.29	$70.79