Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $67.61 / $263.03	Facility		$26.92	$67.61	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $33.88	Professional		$23.99	$28.18	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $29.51 / $85.11	Facility		$15.49	$29.51	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.05 / $31.62	Professional		$18.20	$19.05	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $40.74 / $104.71	Facility		$22.91	$40.74	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $51.29	Professional		$28.18	$42.66	$51.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $35.48 / $37.15	Professional		$8.71	$35.48	$37.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $54.95	Professional		$14.79	$14.79	$54.95