Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $194.98	Professional		$72.44	$102.33	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Facility		$186.21	$186.21	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $147.91	Professional		$109.65	$109.65	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $151.36	Facility		$85.11	$117.49	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $141.25	Professional		$85.11	$85.11	$141.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $331.13	Professional		$104.71	$186.21	$331.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $234.42	Professional		$181.97	$186.21	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $104.71	Facility		$67.61	$89.13	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $181.97	Professional		$70.79	$123.03	$181.97