Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,862.09 / $5,011.87	Facility		$416.87	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $676.08	Professional		$288.40	$398.11	$676.08
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 $288.40 / $407.38 / $741.31	Professional		$288.40	$407.38	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Facility		$389.05	$389.05	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $691.83	Professional		$295.12	$426.58	$691.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $588.84	Professional		$234.42	$407.38	$588.84
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $616.60	Professional		$416.87	$467.74	$616.60
Select Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $724.44	Professional		$275.42	$407.38	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $2,041.74	Facility		$199.53	$1,047.13	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $660.69	Professional		$288.40	$416.87	$660.69