Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $128.82	Professional		$112.20	$112.20	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $776.25	Professional		$112.20	$112.20	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $831.76 / $831.76	Professional		$812.83	$831.76	$831.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $131.83	Professional		$117.49	$128.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $812.83	Professional		$125.89	$190.55	$812.83