Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $104.71	Professional		$72.44	$72.44	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $234.42	Facility		$74.13	$77.62	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $120.23	Professional		$66.07	$66.07	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $85.11	Professional		$74.13	$77.62	$85.11