Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $56.23	Professional		$33.88	$38.90	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Facility		$69.18	$69.18	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $47.86	Professional		$28.84	$42.66	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $77.62	Facility		$44.67	$44.67	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $38.02 / $97.72	Professional		$2.63	$38.02	$97.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $112.20	Professional		$52.48	$69.18	$112.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $69.18 / $75.86	Professional		$67.61	$69.18	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $54.95	Facility		$38.02	$44.67	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $77.62	Professional		$23.44	$46.77	$77.62