Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $371.54 / $1,445.44	Facility		$151.36	$371.54	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $194.98	Professional		$134.90	$158.49	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $588.84	Facility		$109.65	$208.93	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $117.49 / $147.91	Professional		$45.71	$117.49	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $288.40 / $575.44	Facility		$125.89	$288.40	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $354.81	Professional		$120.23	$281.84	$354.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $398.11	Professional		$245.47	$245.47	$398.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $131.83	Facility		$87.10	$87.10	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $269.15	Professional		$81.28	$109.65	$269.15