Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,862.09 / $5,011.87	Facility		$489.78	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $794.33	Professional		$288.40	$426.58	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $812.83	Professional		$288.40	$457.09	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $478.63	Facility		$338.84	$457.09	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $741.31	Professional		$269.15	$426.58	$741.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $645.65	Professional		$229.09	$426.58	$645.65
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $758.58	Professional		$436.52	$588.84	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $831.76	Professional		$288.40	$501.19	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,187.76 / $7,244.36	Facility		$891.25	$2,187.76	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $707.95	Professional		$269.15	$407.38	$707.95