Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $151.36 / $190.55	Facility		$75.86	$151.36	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $186.21	Professional		$75.86	$75.86	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $239.88	Facility		$75.86	$79.43	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $123.03	Professional		$83.18	$83.18	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $97.72	Professional		$75.86	$75.86	$97.72