Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,862.09 / $5,011.87	Facility		$251.19	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $407.38	Professional		$97.72	$218.78	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $199.53	Professional		$89.13	$100.00	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $416.87	Professional		$100.00	$194.98	$416.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $416.87	Professional		$104.71	$251.19	$416.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $316.23 / $354.81	Professional		$128.82	$316.23	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $239.88 / $239.88	Professional		$87.10	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $363.08	Professional		$89.13	$208.93	$363.08