Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,862.09 / $5,011.87	Facility		$302.00	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $616.60	Professional		$269.15	$380.19	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,025.60 / $7,762.47	Facility		$3,715.35	$6,025.60	$7,762.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $524.81	Professional		$245.47	$371.54	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,000.00	Professional		$302.00	$489.78	$1,000.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $707.95	Professional		$190.55	$380.19	$707.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $446.68	Professional		$275.42	$323.59	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $295.12	Professional		$213.80	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,090.30 / $9,120.11	Facility		$1,659.59	$3,090.30	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $660.69	Professional		$263.03	$478.63	$660.69