Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Facility		$120.23	$120.23	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $162.18	Professional		$95.50	$120.23	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $134.90 / $134.90	Facility		$85.11	$134.90	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $186.21	Professional		$95.50	$112.20	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,513.56 / $3,630.78	Facility		$64.57	$1,513.56	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $275.42	Professional		$100.00	$154.88	$275.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $125.89 / $173.78	Professional		$0.93	$125.89	$173.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $0.93 / $154.88	Professional		$0.93	$0.93	$154.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $104.71 / $104.71	Professional		$102.33	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $229.09	Professional		$97.72	$128.82	$229.09