Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $426.58 / $457.09	Facility		$32.36	$426.58	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $63.10	Professional		$23.44	$32.36	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $40.74 / $40.74	Facility		$25.12	$40.74	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $51.29	Professional		$28.18	$30.20	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $169.82 / $416.87	Facility		$23.99	$169.82	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $54.95	Professional		$24.55	$34.67	$54.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $37.15 / $48.98	Professional		$0.21	$37.15	$48.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $45.71	Professional		$0.21	$0.21	$45.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $30.90	Professional		$30.20	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $48.98	Professional		$20.89	$30.90	$48.98