Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $426.58	Professional		$398.11	$416.87	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $426.58	Professional		$398.11	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $501.19	Professional		$128.82	$199.53	$501.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $131.83	Professional		$120.23	$128.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $501.19	Professional		$125.89	$177.83	$501.19