Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $302.00 / $1,174.90	Facility		$123.03	$302.00	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $186.21	Professional		$109.65	$128.82	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $380.19	Facility		$69.18	$131.83	$380.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $95.50	Professional		$13.18	$13.18	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $467.74	Facility		$102.33	$181.97	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $229.09	Professional		$181.97	$190.55	$229.09
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $257.04	Professional		$158.49	$158.49	$257.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $165.96	Professional		$66.07	$66.07	$165.96