Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,862.09 / $5,011.87	Facility		$204.17	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $173.78 / $323.59	Professional		$75.86	$173.78	$323.59
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 $77.62 / $165.96 / $346.74	Professional		$77.62	$165.96	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Facility		$138.04	$138.04	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $338.84	Professional		$83.18	$194.98	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $162.18 / $257.04	Professional		$60.26	$162.18	$257.04
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $223.87 / $295.12	Professional		$100.00	$223.87	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $194.98 / $389.05	Professional		$67.61	$194.98	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,456.54	Facility		$724.44	$1,995.26	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $169.82 / $309.03	Professional		$81.28	$169.82	$309.03