Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $97.72	Professional		$43.65	$56.23	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $144.54	Facility		$138.04	$138.04	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $83.18	Professional		$63.10	$63.10	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $112.20	Facility		$64.57	$87.10	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $89.13	Professional		$50.12	$63.10	$89.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $239.88	Professional		$77.62	$138.04	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $138.04	Professional		$102.33	$134.90	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $50.12 / $69.18	Facility		$38.02	$50.12	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $123.03	Professional		$39.81	$72.44	$123.03