Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $190.55	Professional		$87.10	$123.03	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $302.00	Facility		$288.40	$288.40	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $239.88	Facility		$102.33	$141.25	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $186.21	Professional		$102.33	$102.33	$186.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $501.19	Professional		$158.49	$288.40	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $288.40 / $288.40	Professional		$245.47	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $162.18	Facility		$79.43	$104.71	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $257.04	Professional		$81.28	$151.36	$257.04