Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $363.08	Professional		$147.91	$213.80	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $407.38	Facility		$389.05	$389.05	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $288.40	Professional		$218.78	$218.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $309.03	Facility		$204.17	$295.12	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $309.03	Professional		$177.83	$218.78	$309.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $676.08	Professional		$213.80	$389.05	$676.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $489.78	Professional		$380.19	$389.05	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $190.55 / $269.15	Facility		$134.90	$190.55	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $257.04 / $363.08	Professional		$165.96	$257.04	$363.08