Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $107.15 / $134.90	Facility		$52.48	$107.15	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $74.13	Professional		$52.48	$52.48	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $56.23 / $169.82	Facility		$53.70	$56.23	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $54.95	Professional		$53.70	$53.70	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $53.70 / $53.70	Facility		$48.98	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $69.18	Professional		$58.88	$58.88	$69.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $54.95	Professional		$53.70	$53.70	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Professional		$53.70	$53.70	$64.57