Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $5,011.87	Facility		$954.99	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $263.03	Professional		$102.33	$117.49	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $223.87	Professional		$120.23	$169.82	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $229.09	Professional		$109.65	$154.88	$229.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $107.15 / $162.18	Professional		$2.82	$107.15	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $144.54	Professional		$2.40	$2.40	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $208.93	Professional		$97.72	$97.72	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $194.98	Professional		$104.71	$138.04	$194.98