Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $1,905.46	Facility		$199.53	$489.78	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $416.87	Professional		$194.98	$204.17	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $213.80 / $616.60	Facility		$114.82	$213.80	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $371.54	Professional		$102.33	$102.33	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $758.58	Facility		$165.96	$295.12	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $371.54	Professional		$128.82	$309.03	$371.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $389.05	Professional		$257.04	$263.03	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $173.78	Facility		$131.83	$131.83	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $269.15	Professional		$89.13	$109.65	$269.15