Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $257.04	Facility		$25.70	$64.57	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $32.36	Professional		$22.91	$26.92	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.18 / $81.28	Facility		$15.14	$28.18	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $30.20	Professional		$13.49	$13.49	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $39.81 / $54.95	Facility		$21.88	$39.81	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $50.12	Professional		$26.92	$41.69	$50.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $33.88 / $51.29	Professional		$8.51	$33.88	$51.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $35.48	Professional		$14.13	$14.13	$35.48