Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $524.81 / $2,041.74	Facility		$213.80	$524.81	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $263.03	Professional		$190.55	$223.87	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $229.09 / $660.69	Facility		$123.03	$229.09	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $229.09	Professional		$165.96	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $323.59 / $831.76	Facility		$177.83	$323.59	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $398.11	Professional		$316.23	$331.13	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $446.68	Professional		$275.42	$275.42	$446.68
Select Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $288.40	Professional		$114.82	$114.82	$288.40