Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,862.09 / $5,011.87	Facility		$177.83	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $288.40	Professional		$125.89	$162.18	$288.40
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 $123.03 / $186.21 / $309.03	Professional		$123.03	$186.21	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $398.11	Facility		$288.40	$389.05	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $316.23	Professional		$123.03	$186.21	$316.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $331.13	Professional		$102.33	$181.97	$331.13
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 $190.55 / $275.42 / $467.74	Professional		$190.55	$275.42	$467.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $309.03	Professional		$125.89	$181.97	$309.03
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 $117.49 / $165.96 / $275.42	Professional		$117.49	$165.96	$275.42