Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $147.91 / $186.21	Facility		$72.44	$147.91	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $89.13	Professional		$72.44	$72.44	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $77.62 / $234.42	Facility		$74.13	$77.62	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $74.13	Facility		$70.79	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $79.43	Professional		$74.13	$74.13	$79.43
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $83.18	Professional		$74.13	$74.13	$83.18