Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $85.11 / $288.40	Facility		$50.12	$85.11	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $43.65 / $123.03	Facility		$22.91	$43.65	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $30.90 / $39.81	Professional		$6.03	$30.90	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $53.70 / $60.26	Facility		$28.84	$53.70	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $83.18	Professional		$51.29	$51.29	$83.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $28.84	Facility		$18.20	$18.20	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $57.54	Professional		$17.78	$25.12	$57.54