Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,862.09 / $5,011.87	Facility		$281.84	$1,862.09	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $446.68	Professional		$114.82	$218.78	$446.68
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 / $131.83 / $194.98	Professional		$107.15	$131.83	$194.98
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 $112.20 / $229.09 / $478.63	Professional		$112.20	$229.09	$478.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $436.52	Professional		$120.23	$251.19	$436.52
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $380.19	Professional		$151.36	$275.42	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $251.19 / $251.19	Professional		$100.00	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $407.38	Professional		$104.71	$223.87	$407.38