Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $165.96	Professional		$93.33	$114.82	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $309.03	Facility		$295.12	$295.12	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $537.03	Facility		$107.15	$134.90	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $190.55	Professional		$100.00	$100.00	$190.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $512.86	Professional		$165.96	$295.12	$512.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $295.12	Professional		$218.78	$288.40	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $144.54	Facility		$81.28	$107.15	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $263.03	Professional		$85.11	$154.88	$263.03