Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $239.88 / $776.25	Facility		$112.20	$239.88	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $173.78	Professional		$104.71	$117.49	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $120.23 / $346.74	Facility		$64.57	$120.23	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $208.93	Professional		$70.79	$70.79	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $169.82 / $436.52	Facility		$95.50	$169.82	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $208.93	Professional		$72.44	$112.20	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $144.54 / $218.78	Professional		$38.90	$144.54	$218.78
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 $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $100.00	Facility		$85.11	$85.11	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $229.09	Professional		$87.10	$104.71	$229.09