Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $1,584.89	Facility		$162.18	$398.11	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $251.19	Professional		$125.89	$165.96	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $177.83 / $501.19	Facility		$93.33	$177.83	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $162.18	Professional		$83.18	$125.89	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $245.47 / $630.96	Facility		$138.04	$245.47	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $239.88 / $302.00	Professional		$85.11	$239.88	$302.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $208.93 / $338.84	Professional		$1.29	$208.93	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $144.54	Facility		$72.44	$91.20	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $239.88	Professional		$75.86	$93.33	$239.88