Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,454.71 / $5,011.87	Facility		$218.78	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $407.38	Professional		$162.18	$208.93	$407.38
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 $194.98 / $269.15 / $380.19	Professional		$194.98	$269.15	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $338.84	Professional		$151.36	$213.80	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $2,089.30	Professional		$151.36	$251.19	$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 $229.09 / $331.13 / $2,691.53	Professional		$229.09	$331.13	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $218.78	Professional		$151.36	$218.78	$218.78
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 $162.18 / $218.78 / $338.84	Professional		$162.18	$218.78	$338.84