Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $64.57	Professional		$25.12	$34.67	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $48.98	Professional		$36.31	$36.31	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $77.62	Facility		$28.18	$37.15	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $52.48	Professional		$26.92	$26.92	$52.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $141.25	Professional		$44.67	$81.28	$141.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $81.28	Professional		$58.88	$79.43	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.90 / $44.67	Facility		$22.39	$38.90	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $72.44	Professional		$27.54	$42.66	$72.44