Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $162.18	Professional		$151.36	$158.49	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $162.18 / $162.18	Professional		$66.07	$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 $162.18 / $162.18 / $173.78	Professional		$162.18	$162.18	$173.78
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 $117.49 / $128.82 / $128.82	Professional		$117.49	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $165.96	Professional		$125.89	$165.96	$165.96