Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $125.89	Professional		$57.54	$83.18	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $199.53	Facility		$190.55	$190.55	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $190.55	Facility		$74.13	$87.10	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $123.03	Professional		$63.10	$63.10	$123.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $190.55 / $331.13	Professional		$104.71	$190.55	$331.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $190.55	Professional		$162.18	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $69.18 / $93.33	Facility		$52.48	$69.18	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $169.82	Professional		$53.70	$100.00	$169.82