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 $114.82 / $131.83 / $263.03	Professional		$114.82	$131.83	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $275.42	Professional		$114.82	$154.88	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $16,982.44 / $17,782.79	Facility		$15,848.93	$16,982.44	$17,782.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $239.88	Professional		$120.23	$158.49	$239.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $117.49 / $169.82	Professional		$2.51	$117.49	$169.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $169.82	Professional		$2.14	$2.14	$169.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $239.88	Professional		$112.20	$112.20	$239.88
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 $112.20 / $154.88 / $239.88	Professional		$112.20	$154.88	$239.88