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 $436.52 / $478.63 / $1,862.09	Professional		$436.52	$478.63	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $8,128.31	Facility		$4,570.88	$8,128.31	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,000.00	Professional		$478.63	$630.96	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $812.83	Professional		$398.11	$524.81	$812.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $4,265.80	Professional		$354.81	$549.54	$4,265.80
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $4,265.80	Professional		$616.60	$616.60	$4,265.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $446.68	Professional		$407.38	$407.38	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $831.76	Professional		$436.52	$575.44	$831.76