Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $5,754.40	Facility		$588.84	$1,445.44	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $741.31	Professional		$537.03	$616.60	$741.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $645.65 / $1,819.70	Facility		$338.84	$645.65	$1,819.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $549.54	Professional		$302.00	$302.00	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $1,230.27	Facility		$489.78	$891.25	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $933.25 / $1,122.02	Professional		$446.68	$933.25	$1,122.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $758.58 / $1,174.90	Professional		$190.55	$758.58	$1,174.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $524.81	Facility		$416.87	$416.87	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $794.33	Professional		$316.23	$316.23	$794.33