Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $354.81 / $1,380.38	Facility		$144.54	$354.81	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $309.03	Professional		$128.82	$158.49	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $154.88 / $446.68	Facility		$83.18	$154.88	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $302.00	Professional		$74.13	$74.13	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $549.54	Facility		$123.03	$218.78	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $269.15	Professional		$93.33	$112.20	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $186.21 / $281.84	Professional		$46.77	$186.21	$281.84
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 $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $194.98	Professional		$77.62	$77.62	$194.98