Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $257.04 / $1,000.00	Facility		$104.71	$257.04	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $128.82	Professional		$93.33	$109.65	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $112.20 / $323.59	Facility		$60.26	$112.20	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $281.84 / $281.84	Professional		$69.18	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $158.49 / $218.78	Facility		$87.10	$158.49	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $194.98	Professional		$107.15	$162.18	$194.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $134.90 / $204.17	Professional		$33.88	$134.90	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $141.25	Professional		$56.23	$56.23	$141.25