Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Facility		$104.71	$104.71	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $208.93	Professional		$97.72	$114.82	$208.93
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 $100.00 / $100.00 / $173.78	Professional		$100.00	$100.00	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $1,071.52 / $2,344.23	Facility		$83.18	$1,071.52	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $204.17	Professional		$109.65	$169.82	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $141.25 / $186.21	Professional		$1.12	$141.25	$186.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.12 / $158.49	Professional		$1.12	$1.12	$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 $93.33 / $138.04 / $204.17	Professional		$93.33	$138.04	$204.17