Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $363.08 / $1,412.54	Facility		$147.91	$363.08	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $309.03	Professional		$144.54	$177.83	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $457.09	Facility		$83.18	$158.49	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $309.03	Professional		$97.72	$102.33	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $218.78 / $562.34	Facility		$123.03	$218.78	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $275.42	Professional		$93.33	$162.18	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $190.55 / $288.40	Professional		$56.23	$190.55	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $602.56	Facility		$123.03	$128.82	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $331.13	Professional		$112.20	$151.36	$331.13