Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,454.71 / $5,011.87	Facility		$575.44	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,047.13	Professional		$363.08	$524.81	$1,047.13
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 $309.03 / $501.19 / $933.25	Professional		$309.03	$501.19	$933.25
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 $380.19 / $562.34 / $812.83	Professional		$380.19	$562.34	$812.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $588.84 / $1,000.00	Professional		$257.04	$588.84	$1,000.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $954.99	Professional		$346.74	$562.34	$954.99
Select Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $1,174.90	Professional		$380.19	$645.65	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $912.01	Professional		$380.19	$537.03	$912.01