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 / $478.63	Professional		$104.71	$104.71	$478.63
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 / $169.82	Professional		$104.71	$104.71	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$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 $169.82 / $489.78 / $489.78	Professional		$169.82	$489.78	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $537.03	Professional		$104.71	$104.71	$537.03