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 $10.96 / $14.13 / $16.98	Professional		$10.96	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $14.45 / $41.69	Facility		$7.76	$14.45	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.47 / $12.59	Professional		$5.89	$10.47	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $20.42 / $51.29	Facility		$11.22	$20.42	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $24.55	Professional		$19.95	$19.95	$24.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $28.18	Professional		$17.38	$17.38	$28.18
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 $6.03 / $6.03 / $11.75	Facility		$6.03	$6.03	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $17.38	Professional		$7.24	$10.47	$17.38