Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $97.72	Professional		$45.71	$56.23	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $114.82	Facility		$109.65	$109.65	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $87.10 / $89.13	Professional		$79.43	$87.10	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $87.10 / $87.10	Facility		$57.54	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $194.98	Professional		$61.66	$109.65	$194.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $114.82	Professional		$97.72	$109.65	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $64.57 / $74.13	Facility		$37.15	$64.57	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $100.00	Professional		$45.71	$70.79	$100.00