Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Facility		$120.23	$120.23	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $251.19	Professional		$107.15	$123.03	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $151.36 / $151.36	Facility		$95.50	$151.36	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $245.47	Professional		$112.20	$138.04	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $588.84 / $1,548.82	Facility		$39.81	$588.84	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $251.19	Professional		$128.82	$190.55	$251.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $141.25 / $204.17	Professional		$1.70	$141.25	$204.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $173.78	Professional		$1.70	$1.70	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $117.49	Professional		$114.82	$117.49	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $234.42	Professional		$107.15	$158.49	$234.42