Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $181.97	Facility		$151.36	$151.36	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $269.15	Professional		$131.83	$162.18	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $194.98	Facility		$123.03	$194.98	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $245.47	Professional		$141.25	$154.88	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $6,025.60 / $14,454.40	Facility		$100.00	$6,025.60	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $616.60	Professional		$141.25	$245.47	$616.60
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $181.97 / $251.19	Professional		$1.82	$181.97	$251.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $223.87	Professional		$1.82	$1.82	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $151.36 / $151.36	Professional		$147.91	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $549.54	Professional		$151.36	$204.17	$549.54