Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $288.40 / $1,122.02	Facility		$117.49	$288.40	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $144.54	Professional		$104.71	$123.03	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $125.89 / $363.08	Facility		$66.07	$125.89	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $134.90	Professional		$60.26	$77.62	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $173.78 / $446.68	Facility		$97.72	$173.78	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $199.53	Professional		$87.10	$165.96	$199.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $151.36 / $229.09	Professional		$37.15	$151.36	$229.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $158.49	Professional		$63.10	$63.10	$158.49