Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,698.24 / $5,011.87	Facility		$173.78	$1,698.24	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $691.83	Professional		$144.54	$169.82	$691.83
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 $154.88 / $223.87 / $302.00	Professional		$154.88	$223.87	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $269.15	Professional		$131.83	$181.97	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $2,089.30	Professional		$128.82	$218.78	$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 $208.93 / $269.15 / $2,691.53	Professional		$208.93	$269.15	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $181.97	Professional		$138.04	$173.78	$181.97
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 $138.04 / $181.97 / $281.84	Professional		$138.04	$181.97	$281.84