Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $120.23	Professional		$56.23	$79.43	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $162.18	Facility		$154.88	$154.88	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $107.15	Professional		$83.18	$83.18	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $112.20 / $134.90	Facility		$79.43	$112.20	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $114.82	Professional		$67.61	$81.28	$114.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $269.15	Professional		$85.11	$154.88	$269.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $154.88	Professional		$117.49	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $79.43	Facility		$36.31	$67.61	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $138.04	Professional		$52.48	$97.72	$138.04