Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $354.81	Professional		$181.97	$223.87	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $457.09	Facility		$436.52	$436.52	$457.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $309.03	Professional		$263.03	$263.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $380.19	Facility		$199.53	$275.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $275.42	Professional		$199.53	$199.53	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $776.25	Professional		$251.19	$436.52	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $457.09	Professional		$389.05	$436.52	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $257.04 / $295.12	Facility		$147.91	$257.04	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $398.11	Professional		$181.97	$281.84	$398.11