Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $87.10 / $338.84	Facility		$34.67	$87.10	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $74.13	Professional		$28.18	$36.31	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $107.15	Facility		$19.95	$38.02	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $44.67	Professional		$17.78	$17.78	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $52.48 / $134.90	Facility		$29.51	$52.48	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $53.70 / $66.07	Professional		$22.39	$53.70	$66.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $44.67 / $69.18	Professional		$10.00	$44.67	$69.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Select Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $30.90	Facility		$24.55	$24.55	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $46.77	Professional		$19.05	$19.05	$46.77