Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $323.59 / $1,288.25	Facility		$131.83	$323.59	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $281.84	Professional		$100.00	$138.04	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $141.25 / $407.38	Facility		$75.86	$141.25	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $218.78	Professional		$67.61	$67.61	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $512.86	Facility		$112.20	$199.53	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $245.47	Professional		$85.11	$204.17	$245.47
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $169.82 / $257.04	Professional		$28.84	$169.82	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $117.49	Facility		$64.57	$64.57	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $177.83	Professional		$53.70	$70.79	$177.83