Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $316.23 / $1,230.27	Facility		$125.89	$316.23	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $173.78	Professional		$123.03	$141.25	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $138.04 / $389.05	Facility		$72.44	$138.04	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $147.91	Professional		$81.28	$81.28	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $190.55 / $489.78	Facility		$107.15	$190.55	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $239.88	Professional		$107.15	$199.53	$239.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $162.18 / $251.19	Professional		$50.12	$162.18	$251.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $223.87	Professional		$69.18	$85.11	$223.87