Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $194.98	Professional		$72.44	$107.15	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Facility		$213.80	$213.80	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $141.25	Professional		$107.15	$107.15	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $181.97	Facility		$112.20	$112.20	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $147.91	Professional		$83.18	$83.18	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $371.54	Professional		$120.23	$213.80	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $223.87	Professional		$190.55	$213.80	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $131.83	Facility		$66.07	$104.71	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $194.98	Professional		$81.28	$125.89	$194.98