Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $389.05 / $1,513.56	Facility		$158.49	$389.05	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $331.13	Professional		$141.25	$165.96	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $169.82 / $489.78	Facility		$89.13	$169.82	$489.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $331.13	Professional		$81.28	$81.28	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $234.42 / $602.56	Facility		$131.83	$234.42	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $295.12	Professional		$102.33	$120.23	$295.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $204.17 / $309.03	Professional		$50.12	$204.17	$309.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $138.04	Facility		$112.20	$112.20	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $213.80	Professional		$85.11	$85.11	$213.80