Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,454.71 / $5,011.87	Facility		$389.05	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $2,137.96	Professional		$162.18	$371.54	$2,137.96
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 $162.18 / $363.08 / $630.96	Professional		$162.18	$363.08	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $323.59 / $676.08	Professional		$154.88	$323.59	$676.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $346.74 / $562.34	Professional		$141.25	$346.74	$562.34
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $512.86	Professional		$213.80	$371.54	$512.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $346.74 / $346.74	Professional		$141.25	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $645.65	Professional		$169.82	$346.74	$645.65