Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $724.44 / $2,818.38	Facility		$295.12	$724.44	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $363.08	Professional		$263.03	$309.03	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $316.23 / $891.25	Facility		$165.96	$316.23	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $338.84	Professional		$151.36	$194.98	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $436.52 / $1,122.02	Facility		$245.47	$436.52	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $416.87 / $501.19	Professional		$218.78	$416.87	$501.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $371.54 / $575.44	Professional		$93.33	$371.54	$575.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Select Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $398.11	Professional		$158.49	$158.49	$398.11