Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,862.09 / $5,011.87	Facility		$263.03	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $457.09	Professional		$100.00	$218.78	$457.09
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 $107.15 / $147.91 / $436.52	Professional		$107.15	$147.91	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $416.87	Professional		$104.71	$208.93	$416.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $234.42 / $501.19	Professional		$1.12	$234.42	$501.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $407.38 / $758.58	Professional		$138.04	$407.38	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $275.42 / $407.38	Professional		$91.20	$275.42	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,905.46 / $4,786.30	Facility		$407.38	$1,905.46	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $389.05	Professional		$100.00	$213.80	$389.05