Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,862.09 / $5,011.87	Facility		$346.74	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $309.03 / $537.03	Professional		$169.82	$309.03	$537.03
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 $158.49 / $169.82 / $323.59	Professional		$158.49	$169.82	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $602.56	Professional		$169.82	$316.23	$602.56
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $346.74 / $575.44	Professional		$169.82	$346.74	$575.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $489.78	Professional		$208.93	$389.05	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $331.13 / $331.13	Professional		$141.25	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $537.03	Professional		$158.49	$295.12	$537.03