Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $79.43 / $100.00	Facility		$38.90	$79.43	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $39.81 / $77.62	Professional		$38.90	$39.81	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $41.69 / $128.82	Facility		$39.81	$41.69	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $47.86	Professional		$39.81	$39.81	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $95.50	Professional		$91.20	$91.20	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $8.32	Professional		$7.94	$7.94	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $54.95	Professional		$39.81	$39.81	$54.95