Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $338.84 / $1,318.26	Facility		$134.90	$338.84	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $288.40	Professional		$123.03	$144.54	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $147.91 / $416.87	Facility		$77.62	$147.91	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $288.40	Professional		$69.18	$69.18	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $524.81	Facility		$114.82	$204.17	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $257.04	Professional		$87.10	$104.71	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $173.78 / $269.15	Professional		$43.65	$173.78	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Facility		$95.50	$95.50	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $181.97	Professional		$74.13	$74.13	$181.97