Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $162.18	Professional		$128.82	$134.90	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $223.87	Professional		$128.82	$162.18	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $131.83	Professional		$120.23	$128.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $162.18	Professional		$125.89	$141.25	$162.18