Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $309.03	Professional		$147.91	$199.53	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $512.86	Facility		$478.63	$478.63	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $275.42	Professional		$218.78	$218.78	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $245.47 / $436.52	Facility		$177.83	$245.47	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $263.03	Professional		$177.83	$177.83	$263.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $851.14	Professional		$269.15	$478.63	$851.14
Select Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $478.63	Professional		$354.81	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $173.78 / $234.42	Facility		$134.90	$173.78	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $436.52	Professional		$138.04	$257.04	$436.52