Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,862.09 / $5,011.87	Facility		$181.97	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $354.81	Professional		$165.96	$199.53	$354.81
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 $177.83 / $218.78 / $323.59	Professional		$177.83	$218.78	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $354.81	Professional		$165.96	$239.88	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $208.93 / $323.59	Professional		$3.16	$208.93	$323.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $295.12	Professional		$190.55	$257.04	$295.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $354.81	Professional		$169.82	$199.53	$354.81
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 $158.49 / $218.78 / $323.59	Professional		$158.49	$218.78	$323.59