Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $186.21	Professional		$112.20	$131.83	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $213.80	Professional		$104.71	$144.54	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $199.53	Professional		$107.15	$125.89	$199.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $147.91 / $208.93	Professional		$26.92	$147.91	$208.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Select Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $194.98	Professional		$112.20	$123.03	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $223.87	Professional		$102.33	$128.82	$223.87