Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,981.07 / $6,918.31	Facility		$602.56	$3,981.07	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $933.25	Professional		$457.09	$630.96	$933.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $870.96	Professional		$407.38	$467.74	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $891.25	Professional		$346.74	$588.84	$891.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,995.26	Professional		$467.74	$676.08	$1,995.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $2,691.53	Professional		$575.44	$891.25	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $588.84	Professional		$389.05	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $891.25	Professional		$398.11	$549.54	$891.25