Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $446.68 / $1,348.96	Facility		$107.15	$446.68	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $162.18	Professional		$85.11	$107.15	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $138.04	Facility		$87.10	$138.04	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $165.96	Professional		$93.33	$102.33	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $204.17 / $549.54	Facility		$74.13	$204.17	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $181.97	Professional		$79.43	$112.20	$181.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $125.89 / $165.96	Professional		$0.35	$125.89	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $158.49	Professional		$0.35	$0.35	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $165.96	Professional		$64.57	$104.71	$165.96