Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $131.83 / $398.11	Facility		$28.84	$131.83	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $30.20	Professional		$28.18	$28.84	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $95.50	Facility		$31.62	$31.62	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $33.88	Professional		$30.90	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $33.88	Professional		$30.20	$30.20	$33.88