Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,454.71 / $5,011.87	Facility		$302.00	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $851.14	Professional		$190.55	$288.40	$851.14
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 $229.09 / $338.84 / $501.19	Professional		$229.09	$338.84	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $457.09	Professional		$204.17	$309.03	$457.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $512.86	Professional		$186.21	$346.74	$512.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $467.74	Professional		$281.84	$457.09	$467.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $309.03	Professional		$186.21	$309.03	$309.03
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 $208.93 / $309.03 / $478.63	Professional		$208.93	$309.03	$478.63