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 / $144.54	Professional		$104.71	$104.71	$144.54
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 $97.72 / $104.71 / $104.71	Facility		$97.72	$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 $109.65 / $109.65 / $117.49	Professional		$109.65	$109.65	$117.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Professional		$104.71	$104.71	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $123.03	Professional		$104.71	$104.71	$123.03