Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $213.80 / $724.44	Facility		$79.43	$213.80	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $125.89	Professional		$104.71	$104.71	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $190.55	Facility		$35.48	$67.61	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $47.86 / $61.66	Professional		$6.03	$47.86	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $83.18 / $93.33	Facility		$72.44	$83.18	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $114.82	Professional		$91.20	$91.20	$114.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $128.82	Professional		$79.43	$79.43	$128.82
Select Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $72.44	Facility		$27.54	$27.54	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $112.20	Professional		$40.74	$63.10	$112.20