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 $467.74 / $660.69 / $1,202.26	Professional		$467.74	$660.69	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,548.82	Facility		$1,479.11	$1,479.11	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $870.96	Professional		$660.69	$660.69	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $1,288.25	Facility		$524.81	$724.44	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $954.99	Professional		$524.81	$524.81	$954.99
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $2,630.27	Professional		$831.76	$1,479.11	$2,630.27
Select Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,479.11	Professional		$1,288.25	$1,479.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $724.44 / $812.83	Facility		$407.38	$724.44	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,348.96	Professional		$501.19	$776.25	$1,348.96