Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $85.11	Professional		$38.02	$54.95	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Facility		$100.00	$100.00	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $77.62	Professional		$60.26	$60.26	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $72.44	Facility		$48.98	$61.66	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $77.62	Professional		$44.67	$44.67	$77.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $173.78	Professional		$56.23	$100.00	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $104.71	Professional		$89.13	$100.00	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $48.98 / $57.54	Facility		$29.51	$48.98	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $66.07 / $97.72	Professional		$38.02	$66.07	$97.72