Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $66.07 / $257.04	Facility		$25.70	$66.07	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $56.23	Professional		$22.91	$32.36	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $28.84 / $83.18	Facility		$15.49	$28.84	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.50 / $25.12	Professional		$17.78	$19.50	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $40.74 / $102.33	Facility		$22.39	$40.74	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $50.12	Professional		$16.98	$30.90	$50.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $34.67 / $52.48	Professional		$4.47	$34.67	$52.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $60.26	Professional		$20.89	$28.84	$60.26