Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,862.09 / $5,011.87	Facility		$229.09	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $257.04	Professional		$104.71	$158.49	$257.04
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 $107.15 / $208.93 / $380.19	Professional		$107.15	$208.93	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $223.87	Professional		$173.78	$173.78	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $199.53 / $323.59	Professional		$1.35	$199.53	$323.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $144.54 / $295.12	Professional		$1.35	$144.54	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $199.53	Professional		$95.50	$186.21	$199.53
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 $123.03 / $229.09 / $389.05	Professional		$123.03	$229.09	$389.05