Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $120.23 / $389.05	Facility		$56.23	$120.23	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $42.66 / $58.88	Professional		$18.20	$42.66	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $75.86 / $104.71	Professional		$20.42	$75.86	$104.71
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 $17.38 / $28.84 / $53.70	Professional		$17.38	$28.84	$53.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $39.81 / $97.72	Professional		$0.47	$39.81	$97.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $0.47 / $91.20	Professional		$0.47	$0.47	$91.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $66.07	Professional		$57.54	$60.26	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $60.26	Professional		$25.12	$40.74	$60.26