Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,862.09 / $5,011.87	Facility		$316.23	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $204.17 / $446.68	Professional		$77.62	$204.17	$446.68
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 / $190.55 / $489.78	Professional		$77.62	$190.55	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $724.44	Facility		$512.86	$691.83	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $199.53 / $436.52	Professional		$81.28	$199.53	$436.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $245.47 / $562.34	Professional		$64.57	$245.47	$562.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $478.63 / $794.33	Professional		$120.23	$478.63	$794.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $295.12 / $501.19	Professional		$79.43	$295.12	$501.19
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 $77.62 / $194.98 / $407.38	Professional		$77.62	$194.98	$407.38