Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $147.91 / $588.84	Facility		$60.26	$147.91	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $61.66 / $93.33	Professional		$28.18	$61.66	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $186.21	Facility		$34.67	$66.07	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $60.26	Professional		$30.90	$46.77	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $91.20 / $234.42	Facility		$51.29	$91.20	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $69.18 / $112.20	Professional		$27.54	$69.18	$112.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $77.62 / $125.89	Professional		$0.36	$77.62	$125.89
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 $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $26.92 / $53.70	Facility		$25.70	$26.92	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $77.62	Professional		$21.38	$32.36	$77.62