Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $169.82 / $660.69	Facility		$67.61	$169.82	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $104.71	Professional		$57.54	$72.44	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $74.13 / $208.93	Facility		$38.90	$74.13	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $67.61	Professional		$35.48	$53.70	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $102.33 / $263.03	Facility		$57.54	$102.33	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $102.33 / $125.89	Professional		$46.77	$102.33	$125.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $87.10 / $144.54	Professional		$0.60	$87.10	$144.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $60.26	Facility		$30.90	$44.67	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $114.82	Professional		$37.15	$41.69	$114.82