Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $912.01	Professional		$169.82	$218.78	$912.01
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 $169.82 / $251.19 / $537.03	Professional		$169.82	$251.19	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Facility		$912.01	$912.01	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $758.58	Professional		$165.96	$234.42	$758.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $416.87 / $1,047.13	Professional		$4.47	$416.87	$1,047.13
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $831.76 / $1,412.54	Professional		$263.03	$831.76	$1,412.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $512.86 / $933.25	Professional		$173.78	$512.86	$933.25
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 $158.49 / $223.87 / $616.60	Professional		$158.49	$223.87	$616.60