Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $28.84 / $112.20	Facility		$10.96	$28.84	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $14.13	Professional		$10.00	$12.02	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $12.59 / $35.48	Facility		$6.61	$12.59	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $12.02	Professional		$6.61	$6.61	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $17.38 / $44.67	Facility		$9.77	$17.38	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $21.38	Professional		$12.02	$17.78	$21.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $14.79 / $22.91	Professional		$3.72	$14.79	$22.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $15.49	Professional		$6.31	$6.31	$15.49