Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $173.78 / $691.83	Facility		$70.79	$173.78	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $109.65	Professional		$67.61	$77.62	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $75.86 / $218.78	Facility		$40.74	$75.86	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $70.79	Professional		$44.67	$54.95	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $275.42	Facility		$60.26	$107.15	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $162.18	Professional		$63.10	$104.71	$162.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $91.20 / $147.91	Professional		$0.62	$91.20	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $63.10 / $63.10	Facility		$31.62	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $128.82	Professional		$38.02	$54.95	$128.82