Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $478.63 / $1,862.09	Facility		$190.55	$478.63	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $239.88	Professional		$165.96	$199.53	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $588.84	Facility		$109.65	$208.93	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $147.91 / $190.55	Professional		$45.71	$147.91	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $288.40 / $741.31	Facility		$162.18	$288.40	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $354.81	Professional		$199.53	$281.84	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $398.11	Professional		$245.47	$245.47	$398.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $169.82	Facility		$87.10	$87.10	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $323.59	Professional		$104.71	$112.20	$323.59