Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $501.19 / $1,995.26	Facility		$204.17	$501.19	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $316.23	Professional		$169.82	$204.17	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $218.78 / $630.96	Facility		$117.49	$218.78	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $263.03	Professional		$104.71	$104.71	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $309.03 / $794.33	Facility		$173.78	$309.03	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $380.19	Professional		$131.83	$173.78	$380.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $263.03 / $398.11	Professional		$72.44	$263.03	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $181.97	Facility		$147.91	$147.91	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $316.23	Professional		$109.65	$123.03	$316.23