Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $218.78 / $851.14	Facility		$89.13	$218.78	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $112.20	Professional		$79.43	$93.33	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $95.50 / $275.42	Facility		$51.29	$95.50	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $83.18	Professional		$45.71	$45.71	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $346.74	Facility		$75.86	$134.90	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $165.96	Professional		$67.61	$141.25	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $114.82 / $173.78	Professional		$28.84	$114.82	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $79.43	Facility		$63.10	$63.10	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $120.23	Professional		$47.86	$47.86	$120.23