Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $239.88 / $933.25	Facility		$95.50	$239.88	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $218.78	Professional		$93.33	$114.82	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $104.71 / $295.12	Facility		$54.95	$104.71	$295.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $204.17	Professional		$61.66	$61.66	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $144.54 / $371.54	Facility		$81.28	$144.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $147.91 / $181.97	Professional		$61.66	$147.91	$181.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $123.03 / $190.55	Professional		$38.02	$123.03	$190.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $169.82	Professional		$52.48	$70.79	$169.82