Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $154.88 / $190.55	Facility		$75.86	$154.88	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $245.47	Facility		$75.86	$79.43	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $79.43	Professional		$75.86	$79.43	$79.43
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 $81.28 / $81.28 / $123.03	Professional		$81.28	$81.28	$123.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50