Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $2,454.71	Facility		$257.04	$630.96	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $549.54	Professional		$229.09	$275.42	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $275.42 / $794.33	Facility		$147.91	$275.42	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $331.13	Professional		$131.83	$131.83	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $389.05 / $977.24	Facility		$218.78	$389.05	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $478.63	Professional		$165.96	$199.53	$478.63
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $501.19	Professional		$331.13	$331.13	$501.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $223.87	Facility		$165.96	$165.96	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $346.74	Professional		$138.04	$138.04	$346.74