Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $107.15	Professional		$40.74	$57.54	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $138.04	Facility		$131.83	$131.83	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $77.62	Professional		$57.54	$57.54	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $60.26 / $123.03	Facility		$53.70	$60.26	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $85.11	Professional		$43.65	$43.65	$85.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $229.09	Professional		$72.44	$131.83	$229.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $131.83 / $131.83	Professional		$97.72	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $63.10 / $72.44	Facility		$36.31	$63.10	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $117.49	Professional		$44.67	$69.18	$117.49