Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $398.11 / $1,548.82	Facility		$162.18	$398.11	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $363.08	Professional		$158.49	$194.98	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $173.78 / $501.19	Facility		$93.33	$173.78	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $158.49	Professional		$102.33	$102.33	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $239.88 / $616.60	Facility		$134.90	$239.88	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $251.19 / $302.00	Professional		$104.71	$251.19	$302.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $316.23	Professional		$97.72	$208.93	$316.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $218.78	Facility		$141.25	$141.25	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $181.97 / $426.58	Professional		$87.10	$181.97	$426.58