Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $33.11 / $128.82	Facility		$12.88	$33.11	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $15.85	Professional		$12.02	$14.13	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $14.45 / $41.69	Facility		$7.59	$14.45	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $13.80	Professional		$7.59	$7.59	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.95 / $51.29	Facility		$11.22	$19.95	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $25.12	Professional		$13.80	$20.89	$25.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $17.38 / $26.30	Professional		$4.27	$17.38	$26.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
Select Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $18.20	Professional		$7.24	$7.24	$18.20