Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $125.89	Facility		$102.33	$102.33	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $204.17	Professional		$89.13	$117.49	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $134.90 / $134.90	Facility		$85.11	$134.90	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $169.82	Professional		$97.72	$97.72	$169.82
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 $107.15 / $165.96 / $199.53	Professional		$107.15	$165.96	$199.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $138.04 / $181.97	Professional		$1.20	$138.04	$181.97
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $154.88	Professional		$1.20	$1.20	$154.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $199.53	Professional		$91.20	$134.90	$199.53