Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $575.44	Professional		$245.47	$295.12	$575.44
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 $257.04 / $338.84 / $616.60	Professional		$257.04	$338.84	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $676.08	Professional		$239.88	$380.19	$676.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $398.11 / $758.58	Professional		$12.30	$398.11	$758.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $758.58	Professional		$457.09	$457.09	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $524.81	Professional		$309.03	$309.03	$524.81
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 $245.47 / $371.54 / $707.95	Professional		$245.47	$371.54	$707.95