Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $204.17 / $912.01	Facility		$95.50	$204.17	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $199.53	Professional		$91.20	$104.71	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $102.33 / $295.12	Facility		$54.95	$102.33	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $199.53	Professional		$60.26	$60.26	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $144.54 / $363.08	Facility		$79.43	$144.54	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $177.83	Professional		$61.66	$91.20	$177.83
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $123.03 / $186.21	Professional		$30.90	$123.03	$186.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $165.96	Professional		$51.29	$63.10	$165.96