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 $125.89 / $154.88 / $269.15	Professional		$125.89	$154.88	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $204.17 / $204.17	Facility		$125.89	$204.17	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $251.19	Professional		$141.25	$147.91	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $6,025.60 / $14,454.40	Facility		$79.43	$6,025.60	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $645.65	Professional		$147.91	$239.88	$645.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $186.21 / $257.04	Professional		$1.51	$186.21	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.51 / $234.42	Professional		$1.51	$1.51	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $154.88	Professional		$141.25	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $549.54	Professional		$147.91	$213.80	$549.54