Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $85.11	Professional		$77.62	$77.62	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $125.89	Professional		$77.62	$85.11	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $131.83	Professional		$81.28	$128.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $125.89	Professional		$77.62	$125.89	$125.89