Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $112.20	Professional		$52.48	$69.18	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $165.96	Facility		$158.49	$158.49	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $91.20	Professional		$70.79	$70.79	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $75.86 / $154.88	Facility		$56.23	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $102.33	Professional		$54.95	$54.95	$102.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $275.42	Professional		$87.10	$158.49	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $158.49	Professional		$117.49	$154.88	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $57.54 / $87.10	Facility		$43.65	$57.54	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $141.25	Professional		$45.71	$83.18	$141.25