Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $109.65 / $138.04	Facility		$53.70	$109.65	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $69.18	Professional		$53.70	$53.70	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $57.54 / $173.78	Facility		$54.95	$57.54	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Facility		$54.95	$54.95	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $89.13	Professional		$58.88	$58.88	$89.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $69.18	Professional		$54.95	$54.95	$69.18