Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $131.83 / $512.86	Facility		$52.48	$131.83	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $112.20	Professional		$46.77	$54.95	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $165.96	Facility		$30.20	$57.54	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $100.00	Professional		$27.54	$27.54	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $79.43 / $204.17	Facility		$44.67	$79.43	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $100.00	Professional		$34.67	$81.28	$100.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $69.18 / $104.71	Professional		$13.49	$69.18	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $46.77	Facility		$30.20	$30.20	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $72.44	Professional		$25.12	$28.84	$72.44