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 $181.97 / $229.09 / $354.81	Professional		$181.97	$229.09	$354.81
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 $181.97 / $194.98 / $398.11	Professional		$181.97	$194.98	$398.11
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 $162.18 / $213.80 / $354.81	Professional		$162.18	$213.80	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $2,290.87	Professional		$158.49	$263.03	$2,290.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $2,691.53	Professional		$239.88	$239.88	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $186.21	Professional		$158.49	$158.49	$186.21
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 $162.18 / $199.53 / $338.84	Professional		$162.18	$199.53	$338.84