Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $186.21 / $602.56	Facility		$87.10	$186.21	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $251.19	Professional		$57.54	$79.43	$251.19
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $85.11 / $85.11 / $144.54	Professional	CQ	$85.11	$85.11	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $85.11 / $165.96	Professional		$64.57	$85.11	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $60.26 / $70.79	Facility		$54.95	$60.26	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $83.18	Professional		$63.10	$72.44	$83.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $97.72 / $158.49	Professional		$0.25	$97.72	$158.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.25 / $147.91	Professional		$0.25	$0.25	$147.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $107.15	Professional		$93.33	$97.72	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $125.89	Professional		$70.79	$87.10	$125.89