Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $72.44	Professional		$64.57	$64.57	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $151.36 / $151.36	Professional		$66.07	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $213.80	Professional		$128.82	$165.96	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $134.90	Professional		$120.23	$128.82	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $158.49	Professional		$125.89	$151.36	$158.49