Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,862.09 / $5,011.87	Facility		$234.42	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $398.11	Professional		$147.91	$229.09	$398.11
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 $144.54 / $199.53 / $316.23	Professional		$144.54	$199.53	$316.23
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 $165.96 / $263.03 / $426.58	Professional		$165.96	$263.03	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $269.15 / $457.09	Professional		$3.80	$269.15	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $758.58	Professional		$204.17	$371.54	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $371.54	Professional		$134.90	$245.47	$371.54
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 $147.91 / $239.88 / $407.38	Professional		$147.91	$239.88	$407.38