Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $371.54 / $1,445.44	Facility		$151.36	$371.54	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $316.23	Professional		$134.90	$162.18	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $162.18 / $467.74	Facility		$85.11	$162.18	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $186.21	Professional		$77.62	$77.62	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $223.87 / $575.44	Facility		$125.89	$223.87	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $281.84	Professional		$95.50	$120.23	$281.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $194.98 / $295.12	Professional		$47.86	$194.98	$295.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $204.17	Professional		$81.28	$81.28	$204.17