Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,454.71 / $5,011.87	Facility		$851.14	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $741.31 / $1,258.93	Professional		$194.98	$741.31	$1,258.93
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 $208.93 / $676.08 / $1,445.44	Professional		$208.93	$676.08	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $660.69 / $1,412.54	Professional		$208.93	$660.69	$1,412.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $776.25 / $1,122.02	Professional		$158.49	$776.25	$1,122.02
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 $263.03 / $1,023.29 / $1,122.02	Professional		$263.03	$1,023.29	$1,122.02
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $741.31 / $1,348.96	Professional		$177.83	$741.31	$1,348.96
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 $204.17 / $741.31 / $1,412.54	Professional		$204.17	$741.31	$1,412.54