Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $144.54	Professional		$87.10	$109.65	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $177.83	Professional		$69.18	$93.33	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $70.79 / $85.11	Facility		$54.95	$70.79	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $165.96	Professional		$54.95	$109.65	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $102.33 / $165.96	Professional		$0.42	$102.33	$165.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $0.42 / $154.88	Professional		$0.42	$0.42	$154.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $162.18	Professional		$97.72	$102.33	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $169.82	Professional		$67.61	$102.33	$169.82