Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $4,365.16 / $10,232.93	Facility		$102.33	$4,365.16	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $199.53	Professional		$97.72	$123.03	$199.53
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 $75.86 / $97.72 / $194.98	Professional		$75.86	$97.72	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $263.03	Professional		$87.10	$134.90	$263.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $199.53	Professional		$75.86	$138.04	$199.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $128.82 / $173.78	Professional		$0.36	$128.82	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $114.82	Professional		$85.11	$114.82	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $194.98	Professional		$91.20	$114.82	$194.98