Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $117.49 / $457.09	Facility		$46.77	$117.49	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $102.33	Professional		$45.71	$57.54	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $51.29 / $147.91	Facility		$27.54	$51.29	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $37.15	Professional		$24.55	$24.55	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $72.44 / $186.21	Facility		$40.74	$72.44	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $74.13 / $89.13	Professional		$30.90	$74.13	$89.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $61.66 / $93.33	Professional		$15.49	$61.66	$93.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $42.66	Facility		$33.88	$33.88	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $64.57	Professional		$25.70	$25.70	$64.57