Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $4,365.16 / $10,232.93	Facility		$120.23	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $831.76	Professional		$120.23	$165.96	$831.76
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 $134.90 / $177.83 / $263.03	Professional		$134.90	$177.83	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $257.04	Professional		$125.89	$173.78	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $251.19	Professional		$83.18	$162.18	$251.19
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $234.42	Professional		$104.71	$169.82	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $158.49	Professional		$114.82	$158.49	$158.49
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 $134.90 / $177.83 / $263.03	Professional		$134.90	$177.83	$263.03