Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $102.33 / $151.36	Facility		$85.11	$102.33	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $144.54	Professional		$61.66	$81.28	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $114.82 / $114.82	Facility		$72.44	$114.82	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $141.25	Professional		$72.44	$81.28	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $169.82 / $416.87	Facility		$53.70	$169.82	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $162.18	Professional		$64.57	$104.71	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $100.00 / $144.54	Professional		$0.68	$100.00	$144.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $131.83	Professional		$0.68	$0.68	$131.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $117.49	Professional		$81.28	$87.10	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $128.82	Professional		$52.48	$85.11	$128.82