Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $52.48 / $204.17	Facility		$20.89	$52.48	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $25.70	Professional		$18.20	$20.89	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.91 / $64.57	Facility		$12.02	$22.91	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $45.71	Professional		$14.13	$19.95	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $81.28	Facility		$17.78	$31.62	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $38.90	Professional		$21.88	$31.62	$38.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $44.67	Professional		$26.92	$26.92	$44.67
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $18.62	Facility		$9.55	$9.55	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.59 / $35.48	Professional		$11.48	$12.59	$35.48