Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $239.88	Professional		$131.83	$169.82	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $363.08	Facility		$338.84	$338.84	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $245.47	Professional		$181.97	$190.55	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $269.15	Facility		$162.18	$190.55	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $190.55	Professional		$141.25	$141.25	$190.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $602.56	Professional		$194.98	$338.84	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $354.81	Professional		$302.00	$338.84	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $177.83	Facility		$114.82	$151.36	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $316.23	Professional		$120.23	$199.53	$316.23