Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $208.93 / $263.03	Facility		$104.71	$208.93	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $109.65 / $331.13	Facility		$104.71	$109.65	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Facility		$100.00	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $169.82	Professional		$112.20	$112.20	$169.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Professional		$104.71	$104.71	$125.89