Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $54.95	Professional		$23.99	$31.62	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Facility		$64.57	$64.57	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $45.71	Professional		$34.67	$34.67	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $50.12	Facility		$30.90	$38.02	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $50.12	Professional		$28.18	$28.18	$50.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $64.57 / $112.20	Professional		$36.31	$64.57	$112.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $66.07	Professional		$57.54	$64.57	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $28.18 / $33.11	Facility		$21.88	$28.18	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $58.88	Professional		$22.39	$33.88	$58.88