Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,862.09 / $5,011.87	Facility		$165.96	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $275.42	Professional		$134.90	$194.98	$275.42
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $295.12 / $407.38	Professional	50	$100.00	$295.12	$407.38
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 $128.82 / $165.96 / $213.80	Professional		$128.82	$165.96	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $354.81	Professional		$151.36	$213.80	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $302.00	Professional		$134.90	$208.93	$302.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $275.42	Professional		$165.96	$239.88	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $158.49 / $158.49	Professional		$112.20	$158.49	$158.49
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 $131.83 / $213.80 / $295.12	Professional		$131.83	$213.80	$295.12