Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,862.09 / $5,011.87	Facility		$87.10	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $147.91	Professional		$72.44	$93.33	$147.91
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 $70.79 / $74.13 / $165.96	Professional		$70.79	$74.13	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $154.88	Professional		$67.61	$93.33	$154.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $147.91	Professional		$51.29	$100.00	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $125.89	Professional		$69.18	$87.10	$125.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $85.11	Professional		$57.54	$85.11	$85.11
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 $66.07 / $85.11 / $134.90	Professional		$66.07	$85.11	$134.90