Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,454.71 / $5,011.87	Facility		$169.82	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $323.59	Professional		$107.15	$154.88	$323.59
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 $123.03 / $177.83 / $281.84	Professional		$123.03	$177.83	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $257.04	Professional		$102.33	$169.82	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $2,089.30	Professional		$104.71	$177.83	$2,089.30
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $2,691.53	Professional		$154.88	$251.19	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $165.96	Professional		$104.71	$162.18	$165.96
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 $107.15 / $165.96 / $257.04	Professional		$107.15	$165.96	$257.04