Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $97.72 / $114.82	Facility		$89.13	$97.72	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $194.98	Professional		$85.11	$117.49	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,467.37 / $4,466.84	Facility		$1,513.56	$3,467.37	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $177.83	Professional		$79.43	$117.49	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $204.17	Professional		$89.13	$131.83	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $134.90 / $208.93	Professional		$1.17	$134.90	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $204.17	Professional		$128.82	$138.04	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $190.55	Professional		$87.10	$138.04	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $194.98	Professional		$83.18	$123.03	$194.98