Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Professional		$67.61	$67.61	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $154.88 / $165.96	Professional		$67.61	$154.88	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $213.80	Professional		$128.82	$173.78	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $128.82	Professional		$69.18	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $199.53	Professional		$125.89	$151.36	$199.53