Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $204.17 / $794.33	Facility		$83.18	$204.17	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $102.33	Professional		$74.13	$87.10	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $89.13 / $257.04	Facility		$47.86	$89.13	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $134.90 / $134.90	Professional		$54.95	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $173.78	Facility		$69.18	$125.89	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $154.88	Professional		$63.10	$131.83	$154.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $107.15 / $162.18	Professional		$26.92	$107.15	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Select Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $112.20	Professional		$44.67	$44.67	$112.20