Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $776.25 / $3,090.30	Facility		$316.23	$776.25	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $316.23 / $467.74	Professional		$173.78	$316.23	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $338.84 / $977.24	Facility		$181.97	$338.84	$977.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $245.47	Professional		$97.72	$97.72	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $478.63 / $1,230.27	Facility		$269.15	$478.63	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $501.19 / $588.84	Professional		$144.54	$501.19	$588.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $407.38 / $616.60	Professional		$102.33	$407.38	$616.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $407.38	Professional		$104.71	$147.91	$407.38