Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,949.84 / $5,011.87	Facility		$758.58	$1,949.84	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,584.89 / $2,754.23	Professional		$173.78	$1,584.89	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,584.89 / $3,311.31	Professional		$199.53	$1,584.89	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,513.56 / $2,691.53	Professional		$186.21	$1,513.56	$2,691.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $1,737.80 / $2,818.38	Professional		$3.63	$1,737.80	$2,818.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $234.42 / $2,630.27	Professional		$2.40	$234.42	$2,630.27
Select Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,778.28 / $1,778.28	Professional		$158.49	$1,778.28	$1,778.28
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 $199.53 / $1,698.24 / $2,951.21	Professional		$199.53	$1,698.24	$2,951.21