Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $112.20 / $138.04	Facility		$54.95	$112.20	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $77.62	Professional		$54.95	$54.95	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $57.54 / $177.83	Facility		$54.95	$57.54	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $69.18	Professional		$54.95	$54.95	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $72.44	Facility		$54.95	$54.95	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $57.54	Professional		$56.23	$56.23	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $74.13	Professional		$54.95	$54.95	$74.13