Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $151.36 / $588.84	Facility		$61.66	$151.36	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $75.86	Professional		$54.95	$64.57	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $66.07 / $190.55	Facility		$35.48	$66.07	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $70.79	Professional		$31.62	$40.74	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $93.33 / $128.82	Facility		$51.29	$93.33	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $104.71	Professional		$63.10	$87.10	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $79.43 / $120.23	Professional		$19.95	$79.43	$120.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $83.18	Professional		$33.11	$33.11	$83.18