Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,862.09 / $5,011.87	Facility		$134.90	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $281.84	Professional		$109.65	$144.54	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $154.88 / $194.98 / $933.25	Professional	50	$154.88	$194.98	$933.25
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 $100.00 / $109.65 / $194.98	Professional		$100.00	$109.65	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $257.04	Professional		$97.72	$144.54	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $234.42	Professional		$93.33	$151.36	$234.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $199.53	Professional		$141.25	$154.88	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $134.90	Professional		$104.71	$134.90	$134.90
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 $100.00 / $125.89 / $218.78	Professional		$100.00	$125.89	$218.78