Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $338.84 / $1,318.26	Facility		$138.04	$338.84	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $213.80	Professional		$117.49	$144.54	$213.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $147.91 / $426.58	Facility		$79.43	$147.91	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $134.90	Professional		$70.79	$107.15	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $208.93 / $537.03	Facility		$114.82	$208.93	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $89.13 / $257.04	Professional		$85.11	$89.13	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $288.40	Professional		$177.83	$177.83	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $123.03	Facility		$61.66	$89.13	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $229.09	Professional		$74.13	$107.15	$229.09