Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Facility		$107.15	$107.15	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $147.91	Professional		$93.33	$107.15	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $213.80	Professional		$100.00	$120.23	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $588.84 / $1,548.82	Facility		$41.69	$588.84	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $208.93	Professional		$102.33	$147.91	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $338.84	Professional		$2.95	$2.95	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Professional		$2.95	$2.95	$2.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $389.05	Professional		$97.72	$218.78	$389.05