Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $213.80	Facility		$177.83	$177.83	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $354.81	Professional		$134.90	$177.83	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $173.78	Facility		$109.65	$173.78	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $288.40	Professional		$165.96	$165.96	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,071.52 / $2,344.23	Facility		$112.20	$1,071.52	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $257.04 / $302.00	Professional		$141.25	$257.04	$302.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $186.21 / $257.04	Professional		$0.81	$186.21	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $0.81 / $199.53	Professional		$0.81	$0.81	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $295.12	Professional		$109.65	$173.78	$295.12