Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $83.18 / $323.59	Facility		$33.11	$83.18	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $41.69	Professional		$19.95	$33.11	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $36.31 / $104.71	Facility		$19.50	$36.31	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $26.30	Professional		$4.57	$4.57	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $51.29 / $128.82	Facility		$28.84	$51.29	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $63.10	Professional		$50.12	$52.48	$63.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $43.65 / $45.71	Professional		$10.96	$43.65	$45.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $45.71	Professional		$18.20	$18.20	$45.71