Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $2,454.71 / $5,011.87	Facility		$234.42	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $389.05	Professional		$186.21	$234.42	$389.05
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 / $275.42 / $416.87	Professional		$208.93	$275.42	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $371.54	Professional		$177.83	$245.47	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $1,202.26	Professional		$165.96	$263.03	$1,202.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $1,584.89	Professional		$251.19	$346.74	$1,584.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $229.09	Professional		$165.96	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $371.54	Professional		$190.55	$257.04	$371.54