Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $275.42	Facility		$218.78	$218.78	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $478.63	Professional		$218.78	$302.00	$478.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Facility		$660.69	$660.69	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $426.58	Professional		$316.23	$331.13	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $331.13 / $549.54	Facility		$288.40	$331.13	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $426.58	Professional		$239.88	$239.88	$426.58
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,148.15	Professional		$363.08	$660.69	$1,148.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $660.69	Professional		$501.19	$645.65	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $257.04 / $323.59	Facility		$169.82	$257.04	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $380.19 / $588.84	Professional		$204.17	$380.19	$588.84