Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,862.09 / $5,011.87	Facility		$169.82	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $371.54	Professional		$70.79	$141.25	$371.54
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 $83.18 / $131.83 / $257.04	Professional		$83.18	$131.83	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $218.78	Professional		$67.61	$117.49	$218.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $263.03	Professional		$63.10	$123.03	$263.03
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $251.19	Professional		$93.33	$186.21	$251.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $154.88 / $165.96	Professional		$63.10	$154.88	$165.96
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 $74.13 / $131.83 / $229.09	Professional		$74.13	$131.83	$229.09