Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $331.13 / $1,288.25	Facility		$134.90	$331.13	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $288.40	Professional		$131.83	$162.18	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $416.87	Facility		$77.62	$144.54	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $281.84	Professional		$89.13	$97.72	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $204.17 / $524.81	Facility		$114.82	$204.17	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $251.19	Professional		$87.10	$154.88	$251.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $173.78 / $263.03	Professional		$53.70	$173.78	$263.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Facility		$117.49	$117.49	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $316.23	Professional		$104.71	$147.91	$316.23