Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $281.84	Facility		$234.42	$234.42	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $288.40	Professional		$169.82	$223.87	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $223.87 / $380.19	Professional		$144.54	$223.87	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $457.09 / $1,174.90	Facility		$138.04	$457.09	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $151.36	Professional		$72.44	$100.00	$151.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $34.67	Professional		$0.71	$0.71	$34.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.71 / $0.71 / $0.71	Professional		$0.71	$0.71	$0.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $269.15	Professional		$32.36	$32.36	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $218.78 / $331.13	Professional		$67.61	$218.78	$331.13