Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $5,011.87	Facility		$954.99	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $269.15	Professional		$123.03	$147.91	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $302.00	Professional		$158.49	$208.93	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $389.05	Professional		$134.90	$190.55	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $331.13	Professional		$144.54	$234.42	$331.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $346.74	Professional		$223.87	$223.87	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $229.09	Professional		$138.04	$151.36	$229.09
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 $144.54 / $229.09 / $331.13	Professional		$144.54	$229.09	$331.13