Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $93.33	Professional		$41.69	$56.23	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $131.83	Facility		$125.89	$125.89	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $81.28	Professional		$61.66	$61.66	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $66.07 / $102.33	Facility		$47.86	$66.07	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $81.28	Professional		$48.98	$48.98	$81.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $125.89 / $223.87	Professional		$70.79	$125.89	$223.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $125.89	Professional		$95.50	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $50.12 / $61.66	Facility		$38.02	$50.12	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $114.82	Professional		$39.81	$72.44	$114.82