Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $162.18 / $630.96	Facility		$64.57	$162.18	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $63.10 / $81.28	Professional		$7.08	$63.10	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $70.79 / $199.53	Facility		$37.15	$70.79	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $64.57	Professional		$45.71	$50.12	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $97.72 / $251.19	Facility		$54.95	$97.72	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Professional		$95.50	$95.50	$120.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $138.04	Professional		$83.18	$83.18	$138.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $57.54	Facility		$29.51	$29.51	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $109.65	Professional		$35.48	$50.12	$109.65