Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $288.40 / $1,122.02	Facility		$114.82	$288.40	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $151.36	Professional		$114.82	$131.83	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $478.63	Facility		$89.13	$165.96	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $147.91	Professional		$45.71	$45.71	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $234.42 / $446.68	Facility		$97.72	$234.42	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $239.88 / $288.40	Professional		$97.72	$239.88	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $199.53 / $302.00	Professional		$37.15	$199.53	$302.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $199.53	Professional		$63.10	$83.18	$199.53