Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $31.62 / $125.89	Facility		$12.02	$31.62	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $19.05	Professional		$10.96	$14.13	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $13.80 / $39.81	Facility		$7.41	$13.80	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $12.88	Professional		$8.13	$10.00	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.50 / $50.12	Facility		$10.96	$19.50	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.05 / $30.20	Professional		$12.02	$19.05	$30.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $16.60 / $26.92	Professional		$0.18	$16.60	$26.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Select Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $11.48 / $11.48	Facility		$5.75	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.00 / $23.44	Professional		$6.92	$10.00	$23.44