Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $489.78	Professional		$223.87	$295.12	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $602.56	Facility		$575.44	$575.44	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $416.87	Professional		$323.59	$338.84	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $457.09	Facility		$275.42	$323.59	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $323.59	Professional		$102.33	$239.88	$323.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,023.29	Professional		$316.23	$575.44	$1,023.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $602.56	Professional		$575.44	$575.44	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $257.04 / $302.00	Facility		$87.10	$257.04	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $537.03	Professional		$204.17	$331.13	$537.03