Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,905.46 / $8,709.64	Facility		$912.01	$1,905.46	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,905.46	Professional		$812.83	$977.24	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $977.24 / $2,754.23	Facility		$512.86	$977.24	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $1,122.02	Professional		$467.74	$588.84	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,348.96 / $3,467.37	Facility		$758.58	$1,348.96	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,380.38 / $1,698.24	Professional		$575.44	$1,380.38	$1,698.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,148.15 / $1,778.28	Professional		$288.40	$1,148.15	$1,778.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $794.33	Facility		$154.88	$154.88	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,230.27	Professional		$489.78	$489.78	$1,230.27