Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $56.23 / $223.87	Facility		$22.91	$56.23	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $23.99 / $28.18	Professional		$21.88	$23.99	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.12 / $70.79	Facility		$13.18	$25.12	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $28.84	Professional		$14.45	$14.45	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $34.67 / $89.13	Facility		$19.50	$34.67	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $43.65	Professional		$19.05	$36.31	$43.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $29.51 / $45.71	Professional		$7.41	$29.51	$45.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $33.11	Professional		$12.30	$13.80	$33.11