Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $190.55 / $891.25	Facility		$93.33	$190.55	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $275.42	Professional		$93.33	$97.72	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $302.00	Facility		$93.33	$97.72	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $93.33	Facility		$91.20	$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 $100.00 / $100.00 / $151.36	Professional		$100.00	$100.00	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Professional		$93.33	$93.33	$112.20