Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $112.20	Professional		$97.72	$97.72	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $125.89	Professional		$97.72	$97.72	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $281.84	Professional		$128.82	$199.53	$281.84
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 / $134.90	Professional		$120.23	$128.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $234.42	Professional		$125.89	$165.96	$234.42