Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $162.18	Professional		$72.44	$104.71	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $229.09	Facility		$218.78	$218.78	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $109.65 / $141.25	Professional		$107.15	$109.65	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $109.65 / $194.98	Facility		$83.18	$109.65	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $141.25	Professional		$81.28	$81.28	$141.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $380.19	Professional		$123.03	$218.78	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $218.78	Professional		$181.97	$213.80	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $107.15	Facility		$66.07	$87.10	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $199.53	Professional		$69.18	$125.89	$199.53