Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,862.09 / $5,011.87	Facility		$229.09	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $1,174.90	Professional		$181.97	$239.88	$1,174.90
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 $218.78 / $288.40 / $426.58	Professional		$218.78	$288.40	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $380.19	Professional		$194.98	$269.15	$380.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $269.15 / $602.56	Professional		$169.82	$269.15	$602.56
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $794.33	Professional		$257.04	$354.81	$794.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $234.42	Professional		$169.82	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $398.11	Professional		$194.98	$263.03	$398.11