Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,137.96 / $5,011.87	Facility		$602.56	$2,137.96	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $1,000.00	Professional		$446.68	$630.96	$1,000.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $1,995.26	Professional	50	$478.63	$478.63	$1,995.26
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 $426.58 / $467.74 / $954.99	Professional		$426.58	$467.74	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $891.25	Professional		$389.05	$630.96	$891.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,412.54	Professional		$478.63	$691.83	$1,412.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,698.24	Professional		$588.84	$870.96	$1,698.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $588.84	Professional		$398.11	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $891.25	Professional		$436.52	$562.34	$891.25