Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,862.09 / $5,011.87	Facility		$177.83	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $281.84	Professional		$61.66	$120.23	$281.84
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 $61.66 / $134.90 / $275.42	Professional		$61.66	$134.90	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $181.97	Facility		$128.82	$173.78	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $288.40	Professional		$66.07	$141.25	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $131.83 / $239.88	Professional		$51.29	$131.83	$239.88
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $229.09 / $275.42	Professional		$91.20	$229.09	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $295.12	Professional		$60.26	$169.82	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,949.84 / $6,309.57	Facility		$724.44	$1,949.84	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $239.88	Professional		$63.10	$125.89	$239.88