Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $380.19 / $1,513.56	Facility		$154.88	$380.19	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $194.98	Professional		$128.82	$154.88	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $169.82 / $478.63	Facility		$89.13	$169.82	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $120.23	Professional		$13.18	$13.18	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $602.56	Facility		$131.83	$234.42	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $245.47 / $288.40	Professional		$234.42	$245.47	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $199.53 / $208.93	Professional		$50.12	$199.53	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $208.93	Professional		$83.18	$83.18	$208.93