Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $691.83 / $2,691.53	Facility		$275.42	$691.83	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $407.38	Professional		$251.19	$288.40	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $851.14	Facility		$158.49	$302.00	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $316.23	Professional		$186.21	$239.88	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $1,071.52	Facility		$234.42	$416.87	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $524.81	Professional		$416.87	$436.52	$524.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $354.81 / $371.54	Professional		$89.13	$354.81	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $371.54	Professional		$147.91	$147.91	$371.54