Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,862.09 / $5,011.87	Facility		$204.17	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $338.84	Professional		$131.83	$199.53	$338.84
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 $114.82 / $131.83 / $269.15	Professional		$114.82	$131.83	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $275.42	Professional		$131.83	$190.55	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $1,445.44	Professional		$134.90	$213.80	$1,445.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $1,949.84	Professional		$169.82	$295.12	$1,949.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $194.98	Professional		$112.20	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,995.26 / $6,309.57	Facility		$724.44	$1,995.26	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $181.97 / $295.12	Professional		$120.23	$181.97	$295.12