Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,981.07 / $7,762.47	Facility		$229.09	$3,981.07	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $1,096.48	Professional		$194.98	$251.19	$1,096.48
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 $234.42 / $309.03 / $436.52	Professional		$234.42	$309.03	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $398.11	Professional		$208.93	$263.03	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $2,089.30	Professional		$194.98	$288.40	$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 $295.12 / $363.08 / $2,691.53	Professional		$295.12	$363.08	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $239.88	Professional		$194.98	$239.88	$239.88
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 $208.93 / $263.03 / $407.38	Professional		$208.93	$263.03	$407.38