Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,862.09 / $5,011.87	Facility		$85.11	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $281.84	Professional		$51.29	$81.28	$281.84
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 $60.26 / $93.33 / $144.54	Professional		$60.26	$93.33	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $131.83	Professional		$50.12	$85.11	$131.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $83.18 / $144.54	Professional		$0.36	$83.18	$144.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $70.79 / $131.83	Professional		$0.24	$70.79	$131.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $89.13	Professional		$46.77	$83.18	$89.13
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 $54.95 / $87.10 / $134.90	Professional		$54.95	$87.10	$134.90