Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $144.54 / $562.34	Facility		$57.54	$144.54	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $60.26 / $89.13	Professional		$19.95	$60.26	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $63.10 / $181.97	Facility		$33.88	$63.10	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $54.95	Professional		$30.20	$44.67	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $89.13 / $229.09	Facility		$50.12	$89.13	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $83.18 / $109.65	Professional		$15.14	$83.18	$109.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $75.86 / $114.82	Professional		$7.41	$75.86	$114.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.30 / $52.48	Facility		$15.14	$26.30	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $31.62 / $75.86	Professional		$10.47	$31.62	$75.86