Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,862.09 / $5,011.87	Facility		$275.42	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $346.74	Professional		$83.18	$138.04	$346.74
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 $83.18 / $162.18 / $407.38	Professional		$83.18	$162.18	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $933.25	Facility		$660.69	$660.69	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $371.54	Professional		$85.11	$151.36	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $151.36 / $691.83	Professional		$70.79	$151.36	$691.83
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 $117.49 / $426.58 / $1,023.29	Professional		$117.49	$426.58	$1,023.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $263.03 / $446.68	Professional		$79.43	$263.03	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,949.84 / $6,309.57	Facility		$724.44	$1,949.84	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $281.84	Professional		$79.43	$131.83	$281.84