Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,202.26	Professional		$537.03	$691.83	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Facility		$1,412.54	$1,412.54	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $1,000.00	Professional		$741.31	$758.58	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,096.48	Facility		$660.69	$912.01	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,412.54 / $2,454.71	Professional		$776.25	$1,412.54	$2,454.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,445.44	Professional		$1,258.93	$1,412.54	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $724.44	Facility		$467.74	$616.60	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,288.25	Professional		$489.78	$794.33	$1,288.25