Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $234.42	Professional		$112.20	$151.36	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $363.08	Facility		$346.74	$346.74	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $213.80	Professional		$154.88	$154.88	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $363.08	Facility		$158.49	$158.49	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $223.87	Professional		$117.49	$117.49	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $346.74 / $602.56	Professional		$194.98	$346.74	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $346.74	Professional		$263.03	$338.84	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $169.82	Facility		$95.50	$125.89	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $316.23	Professional		$100.00	$181.97	$316.23