Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $512.86 / $1,995.26	Facility		$204.17	$512.86	$1,995.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $436.52	Professional		$169.82	$213.80	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $223.87 / $630.96	Facility		$117.49	$223.87	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $288.40	Professional		$104.71	$104.71	$288.40
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 / $158.49 / $389.05	Professional		$131.83	$158.49	$389.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $263.03 / $407.38	Professional		$54.95	$263.03	$407.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
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 $120.23 / $181.97 / $371.54	Facility		$120.23	$181.97	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $389.05	Professional		$144.54	$158.49	$389.05