Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,454.71 / $5,011.87	Facility		$562.34	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $870.96	Professional		$416.87	$588.84	$870.96
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 $371.54 / $416.87 / $776.25	Professional		$371.54	$416.87	$776.25
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 $338.84 / $562.34 / $794.33	Professional		$338.84	$562.34	$794.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,995.26	Professional		$426.58	$645.65	$1,995.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $2,691.53	Professional		$524.81	$812.83	$2,691.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $549.54	Professional		$354.81	$549.54	$549.54
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 $371.54 / $524.81 / $831.76	Professional		$371.54	$524.81	$831.76