Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Facility		$199.53	$199.53	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $398.11	Professional		$169.82	$199.53	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $218.78 / $218.78	Facility		$138.04	$218.78	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $323.59	Professional		$173.78	$190.55	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,071.52 / $2,344.23	Facility		$165.96	$1,071.52	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $346.74	Professional		$141.25	$302.00	$346.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $223.87 / $295.12	Professional		$0.78	$223.87	$295.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $0.78 / $251.19	Professional		$0.78	$0.78	$251.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $338.84	Professional		$100.00	$181.97	$338.84