Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $67.61 / $85.11	Facility		$33.11	$67.61	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $46.77	Professional		$33.11	$33.11	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $107.15	Facility		$35.48	$35.48	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $39.81	Professional		$33.88	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $74.13	Professional		$54.95	$74.13	$74.13
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 $33.88 / $33.88 / $77.62	Professional		$33.88	$33.88	$77.62