Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $616.60 / $2,398.83	Facility		$251.19	$616.60	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $323.59	Professional		$213.80	$263.03	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $269.15 / $776.25	Facility		$144.54	$269.15	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $194.98 / $245.47	Professional		$5.89	$194.98	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $380.19 / $977.24	Facility		$213.80	$380.19	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $371.54 / $467.74	Professional		$208.93	$371.54	$467.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $524.81	Professional		$323.59	$323.59	$524.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $223.87	Facility		$112.20	$112.20	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $416.87	Professional		$134.90	$194.98	$416.87