Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $501.19 / $3,715.35	Professional		$234.42	$501.19	$3,715.35
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 $245.47 / $588.84 / $4,365.16	Professional		$245.47	$588.84	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Facility		$660.69	$660.69	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $524.81 / $3,890.45	Professional		$245.47	$524.81	$3,890.45
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,148.15 / $3,801.89	Professional		$190.55	$1,148.15	$3,801.89
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,023.29 / $3,890.45	Professional		$316.23	$1,023.29	$3,890.45
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $2,398.83 / $4,365.16	Professional		$208.93	$2,398.83	$4,365.16
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 $245.47 / $501.19 / $3,715.35	Professional		$245.47	$501.19	$3,715.35