Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $4,365.16 / $10,232.93	Facility		$53.70	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $478.63	Professional		$53.70	$93.33	$478.63
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 $67.61 / $102.33 / $158.49	Professional		$67.61	$102.33	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $144.54	Professional		$60.26	$91.20	$144.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $147.91	Professional		$48.98	$87.10	$147.91
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $138.04	Professional		$72.44	$79.43	$138.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $91.20	Professional		$48.98	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $141.25	Professional		$60.26	$91.20	$141.25