Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,454.71 / $5,011.87	Facility		$245.47	$2,454.71	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $229.09 / $398.11	Professional		$138.04	$229.09	$398.11
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 $138.04 / $151.36 / $309.03	Professional		$138.04	$151.36	$309.03
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 $147.91 / $251.19 / $426.58	Professional		$147.91	$251.19	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $416.87	Professional		$154.88	$239.88	$416.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $354.81	Professional		$190.55	$275.42	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $234.42	Professional		$128.82	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $7,244.36	Facility		$1,288.25	$2,344.23	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $380.19	Professional		$138.04	$223.87	$380.19