Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $245.47	Professional		$125.89	$165.96	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $416.87	Facility		$398.11	$398.11	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $234.42	Professional		$177.83	$177.83	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $380.19	Facility		$151.36	$181.97	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $204.17	Professional		$131.83	$131.83	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $398.11 / $691.83	Professional		$218.78	$398.11	$691.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $398.11	Professional		$288.40	$389.05	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $144.54 / $169.82	Facility		$109.65	$144.54	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $316.23	Professional		$114.82	$208.93	$316.23