Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $295.12	Professional		$134.90	$194.98	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Facility		$436.52	$436.52	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $257.04	Professional		$190.55	$190.55	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $478.63	Facility		$194.98	$269.15	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $288.40	Professional		$162.18	$194.98	$288.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $776.25	Professional		$245.47	$436.52	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $436.52	Professional		$380.19	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $158.49 / $234.42	Facility		$123.03	$158.49	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $398.11	Professional		$125.89	$229.09	$398.11