Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $239.88	Professional		$112.20	$151.36	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $323.59	Facility		$309.03	$309.03	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $208.93	Professional		$158.49	$162.18	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $190.55 / $251.19	Facility		$141.25	$190.55	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $204.17	Professional		$128.82	$138.04	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $549.54	Professional		$173.78	$309.03	$549.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $309.03	Professional		$257.04	$302.00	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $151.36	Facility		$97.72	$128.82	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $281.84	Professional		$102.33	$186.21	$281.84