Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $323.59	Professional		$131.83	$194.98	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $363.08	Facility		$346.74	$346.74	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $275.42	Professional		$204.17	$204.17	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $251.19	Facility		$89.13	$218.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $269.15	Professional		$158.49	$158.49	$269.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $602.56	Professional		$190.55	$346.74	$602.56
Select Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $346.74 / $346.74	Professional		$295.12	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $165.96 / $194.98	Facility		$36.31	$165.96	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $338.84	Professional		$131.83	$223.87	$338.84