Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $1,698.24 / $5,011.87	Facility		$97.72	$1,698.24	$5,011.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $891.25 / $1,621.81	Facility	50	$891.25	$891.25	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $295.12	Professional		$52.48	$97.72	$295.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $147.91 / $537.03 / $562.34	Professional	50	$147.91	$537.03	$562.34
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 $60.26 / $77.62 / $154.88	Professional		$60.26	$77.62	$154.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $107.15 / $204.17	Professional	50	$70.79	$107.15	$204.17
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 $67.61 / $123.03 / $204.17	Professional		$67.61	$123.03	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $114.82 / $426.58	Professional		$1.35	$114.82	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $144.54 / $758.58	Professional		$72.44	$144.54	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $95.50 / $165.96	Professional		$47.86	$95.50	$165.96
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 $58.88 / $104.71 / $204.17	Professional		$58.88	$104.71	$204.17