Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $138.04	Facility		$114.82	$114.82	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $162.18	Professional		$83.18	$107.15	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $125.89	Facility		$79.43	$125.89	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $177.83	Professional		$89.13	$107.15	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $676.08 / $1,862.09	Facility		$74.13	$676.08	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $190.55	Professional		$87.10	$123.03	$190.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $114.82 / $154.88	Professional		$0.85	$114.82	$154.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $144.54	Professional		$0.85	$0.85	$144.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $173.78	Professional		$75.86	$114.82	$173.78