Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $128.82 / $218.78	Professional		$100.00	$128.82	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $269.15	Facility		$257.04	$257.04	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $186.21	Professional		$134.90	$134.90	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $169.82 / $199.53	Facility		$123.03	$169.82	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $123.03 / $169.82	Professional		$114.82	$123.03	$169.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $257.04 / $457.09	Professional		$144.54	$257.04	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $269.15	Professional		$229.09	$257.04	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $114.82 / $134.90	Facility		$87.10	$114.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $234.42	Professional		$91.20	$165.96	$234.42