Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $151.36	Facility		$125.89	$125.89	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $251.19	Professional		$117.49	$138.04	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $165.96 / $165.96	Facility		$104.71	$165.96	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $204.17	Professional		$117.49	$117.49	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,071.52 / $2,344.23	Facility		$100.00	$1,071.52	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $295.12	Professional		$154.88	$213.80	$295.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $169.82 / $257.04	Professional		$2.24	$169.82	$257.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $190.55	Professional		$2.24	$2.24	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $323.59	Professional		$109.65	$181.97	$323.59