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 $138.04 / $169.82 / $309.03	Professional		$138.04	$169.82	$309.03
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 $181.97 / $251.19 / $338.84	Professional		$181.97	$251.19	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $457.09	Professional		$158.49	$213.80	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $295.12	Professional		$114.82	$204.17	$295.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $251.19	Professional		$173.78	$173.78	$251.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $257.04	Professional		$154.88	$169.82	$257.04
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 $162.18 / $263.03 / $389.05	Professional		$162.18	$263.03	$389.05