Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $1,862.09 / $5,011.87	Facility		$151.36	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $128.82 / $251.19	Professional		$46.77	$128.82	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $144.54 / $288.40	Professional		$58.88	$144.54	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $251.19	Professional		$60.26	$141.25	$251.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $141.25 / $223.87	Professional		$0.89	$141.25	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $69.18 / $208.93	Professional		$0.60	$69.18	$208.93
Select Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $141.25 / $141.25	Professional		$46.77	$141.25	$141.25
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 $63.10 / $141.25 / $251.19	Professional		$63.10	$141.25	$251.19