Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $316.23 / $1,230.27	Facility		$128.82	$316.23	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $199.53	Professional		$109.65	$134.90	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $138.04 / $398.11	Facility		$74.13	$138.04	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $125.89	Professional		$66.07	$100.00	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $194.98 / $501.19	Facility		$109.65	$194.98	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $239.88	Professional		$97.72	$190.55	$239.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $165.96 / $269.15	Professional		$1.23	$165.96	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Select Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $114.82	Facility		$57.54	$93.33	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $213.80	Professional		$67.61	$91.20	$213.80