Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $416.87 / $1,621.81	Facility		$165.96	$416.87	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $354.81	Professional		$144.54	$173.78	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.97 / $512.86	Facility		$95.50	$181.97	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $309.03	Professional		$85.11	$85.11	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $645.65	Facility		$141.25	$251.19	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $257.04 / $316.23	Professional		$107.15	$257.04	$316.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $213.80 / $331.13	Professional		$48.98	$213.80	$331.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $147.91	Facility		$109.65	$109.65	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $223.87	Professional		$89.13	$91.20	$223.87