Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $107.15	Facility		$87.10	$87.10	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $104.71 / $501.19	Professional		$83.18	$104.71	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $125.89	Professional		$83.18	$83.18	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $154.88	Professional		$79.43	$100.00	$154.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.74 / $33.88	Professional		$0.74	$0.74	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.74 / $0.74	Professional		$0.74	$0.74	$0.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $131.83	Professional		$69.18	$89.13	$131.83