Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $446.68 / $1,737.80	Facility		$181.97	$446.68	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $190.55 / $389.05	Professional		$81.28	$190.55	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $194.98 / $562.34	Facility		$104.71	$194.98	$562.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $141.25	Professional		$93.33	$93.33	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $275.42 / $707.95	Facility		$154.88	$275.42	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $281.84 / $338.84	Professional		$117.49	$281.84	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $234.42 / $354.81	Professional		$52.48	$234.42	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Facility		$128.82	$128.82	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $245.47	Professional		$97.72	$97.72	$245.47