Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $316.23	Professional		$151.36	$181.97	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $371.54	Facility		$354.81	$354.81	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $251.19	Professional		$194.98	$194.98	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $275.42	Facility		$169.82	$229.09	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Professional		$169.82	$169.82	$229.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $630.96	Professional		$199.53	$354.81	$630.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $354.81 / $371.54	Professional		$316.23	$354.81	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $208.93 / $239.88	Facility		$120.23	$208.93	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $323.59	Professional		$147.91	$229.09	$323.59