Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,862.09 / $5,011.87	Facility		$346.74	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $524.81	Professional		$257.04	$331.13	$524.81
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 $323.59 / $416.87 / $630.96	Professional		$323.59	$416.87	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $407.38 / $616.60	Professional		$309.03	$407.38	$616.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $416.87 / $602.56	Professional		$208.93	$416.87	$602.56
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $575.44	Professional		$263.03	$398.11	$575.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $380.19	Professional		$269.15	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $630.96	Professional		$302.00	$407.38	$630.96