Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $69.18	Professional		$32.36	$38.90	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $117.49 / $117.49	Professional		$54.95	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $61.66	Facility		$39.81	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $61.66	Professional		$52.48	$52.48	$61.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $134.90	Professional		$44.67	$77.62	$134.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $81.28	Professional		$69.18	$77.62	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $45.71 / $52.48	Facility		$26.30	$45.71	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79