Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $263.03 / $1,023.29	Facility		$107.15	$263.03	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $223.87	Professional		$95.50	$114.82	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $114.82 / $331.13	Facility		$61.66	$114.82	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $223.87	Professional		$54.95	$54.95	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $158.49 / $407.38	Facility		$89.13	$158.49	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $199.53	Professional		$69.18	$81.28	$199.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $138.04 / $208.93	Professional		$33.88	$138.04	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $144.54	Professional		$57.54	$57.54	$144.54