Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,862.09 / $5,011.87	Facility		$128.82	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $446.68	Professional		$95.50	$125.89	$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 $107.15 / $147.91 / $218.78	Professional		$107.15	$147.91	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $194.98	Professional		$102.33	$131.83	$194.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $204.17	Professional		$69.18	$125.89	$204.17
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $190.55	Professional		$87.10	$125.89	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $125.89	Professional		$83.18	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $204.17	Professional		$102.33	$141.25	$204.17