Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $524.81 / $2,089.30	Facility		$213.80	$524.81	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $269.15	Professional		$208.93	$245.47	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $229.09 / $660.69	Facility		$123.03	$229.09	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $165.96	Professional		$63.10	$63.10	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $831.76	Facility		$181.97	$323.59	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $338.84 / $398.11	Professional		$316.23	$338.84	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $275.42 / $288.40	Professional		$69.18	$275.42	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $288.40	Professional		$114.82	$114.82	$288.40