Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $87.10	Professional		$44.67	$60.26	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $147.91	Facility		$141.25	$141.25	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $81.28	Professional		$63.10	$63.10	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $131.83	Facility		$57.54	$75.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $54.95 / $91.20	Professional		$51.29	$54.95	$91.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $245.47	Professional		$77.62	$141.25	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $141.25	Professional		$104.71	$138.04	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $51.29 / $69.18	Facility		$38.90	$51.29	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $125.89	Professional		$40.74	$74.13	$125.89