Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $186.21	Professional		$162.18	$162.18	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
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 / $199.53 / $446.68	Professional		$128.82	$199.53	$446.68
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 / $194.98	Professional		$120.23	$128.82	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $371.54	Professional		$125.89	$177.83	$371.54