Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $89.13	Professional		$48.98	$67.61	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $87.10 / $125.89	Professional		$5.75	$87.10	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $223.87	Professional		$109.65	$151.36	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $131.83	Professional		$120.23	$128.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $128.82	Professional		$91.20	$125.89	$128.82