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 $478.63 / $588.84 / $1,862.09	Professional		$478.63	$588.84	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,073.80 / $5,888.44	Facility		$3,630.78	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,047.13	Professional		$537.03	$707.95	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $851.14	Professional		$426.58	$602.56	$851.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $549.54 / $812.83	Professional		$6.46	$549.54	$812.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $707.95	Professional		$5.50	$5.50	$707.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $512.86	Professional		$478.63	$478.63	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,786.30	Facility		$407.38	$1,584.89	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $912.01	Professional		$478.63	$602.56	$912.01