Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $234.42 / $912.01	Facility		$95.50	$234.42	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $125.89	Professional		$91.20	$104.71	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $295.12	Facility		$53.70	$102.33	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $851.14 / $851.14	Professional		$74.13	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $141.25 / $363.08	Facility		$79.43	$141.25	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $177.83	Professional		$87.10	$147.91	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $123.03 / $186.21	Professional		$30.20	$123.03	$186.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $165.96	Professional		$51.29	$63.10	$165.96