Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $426.58	Professional		$165.96	$229.09	$426.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $549.54	Facility		$524.81	$524.81	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $309.03	Professional		$234.42	$234.42	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $302.00 / $467.74	Facility		$208.93	$302.00	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $223.87 / $338.84	Professional		$190.55	$223.87	$338.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $524.81 / $912.01	Professional		$288.40	$524.81	$912.01
Select Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $524.81	Professional		$380.19	$512.86	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $251.19 / $288.40	Facility		$144.54	$251.19	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $467.74	Professional		$177.83	$275.42	$467.74