Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $275.42 / $1,071.52	Facility		$112.20	$275.42	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $138.04	Professional		$100.00	$114.82	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $120.23 / $338.84	Facility		$63.10	$120.23	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $87.10	Professional		$19.95	$19.95	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.96 / $426.58	Facility		$93.33	$165.96	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $208.93	Professional		$114.82	$173.78	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $141.25 / $151.36	Professional		$35.48	$141.25	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $190.55	Professional		$60.26	$60.26	$190.55