Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $158.49	Professional		$79.43	$100.00	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $257.04	Facility		$245.47	$245.47	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $144.54	Professional		$109.65	$109.65	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $112.20 / $208.93	Facility		$109.65	$112.20	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $158.49	Professional		$81.28	$81.28	$158.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $426.58	Professional		$134.90	$245.47	$426.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $245.47	Professional		$177.83	$239.88	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $120.23	Facility		$67.61	$89.13	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $218.78	Professional		$69.18	$128.82	$218.78