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 $114.82 / $138.04 / $660.69	Professional		$114.82	$138.04	$660.69
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 $128.82 / $165.96 / $281.84	Professional		$128.82	$165.96	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $239.88	Professional		$109.65	$162.18	$239.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $1,174.90	Professional		$100.00	$147.91	$1,174.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $1,174.90	Professional		$165.96	$165.96	$1,174.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $120.23	Professional		$109.65	$109.65	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $223.87	Professional		$120.23	$158.49	$223.87