Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,862.09 / $5,011.87	Facility		$245.47	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $354.81	Professional		$100.00	$194.98	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $371.54	Professional		$104.71	$199.53	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,041.74	Facility		$1,479.11	$1,479.11	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $380.19	Professional		$107.15	$190.55	$380.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $245.47 / $1,479.11	Professional		$85.11	$245.47	$1,479.11
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $363.08 / $2,238.72	Professional		$144.54	$363.08	$2,238.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $426.58	Professional		$97.72	$229.09	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,187.76 / $7,244.36	Facility		$891.25	$2,187.76	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $331.13	Professional		$100.00	$190.55	$331.13