Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $60.26 / $204.17	Facility		$38.02	$60.26	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $56.23	Professional		$30.20	$38.02	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $47.86 / $47.86	Facility		$30.20	$47.86	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $61.66	Professional		$32.36	$35.48	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $169.82 / $416.87	Facility		$29.51	$169.82	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $70.79	Professional		$31.62	$43.65	$70.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $43.65 / $58.88	Professional		$0.27	$43.65	$58.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $0.27 / $54.95	Professional		$0.27	$0.27	$54.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $60.26	Professional		$27.54	$36.31	$60.26