Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $758.58 / $2,951.21	Facility		$302.00	$758.58	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $380.19	Professional		$257.04	$309.03	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $331.13 / $933.25	Facility		$173.78	$331.13	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $302.00	Professional		$204.17	$234.42	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $457.09 / $1,174.90	Facility		$251.19	$457.09	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $562.34	Professional		$446.68	$446.68	$562.34
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $630.96	Professional		$389.05	$389.05	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $269.15	Facility		$138.04	$138.04	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $389.05	Professional		$165.96	$234.42	$389.05