Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $478.63 / $1,862.09	Facility		$194.98	$478.63	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $281.84	Professional		$173.78	$199.53	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $602.56	Facility		$109.65	$208.93	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $151.36	Professional		$66.07	$66.07	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $288.40 / $741.31	Facility		$162.18	$288.40	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $302.00 / $363.08	Professional		$199.53	$302.00	$363.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $251.19 / $380.19	Professional		$61.66	$251.19	$380.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $263.03	Professional		$104.71	$104.71	$263.03