Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $9.12 / $35.48	Facility		$3.02	$9.12	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.01	Professional		$3.02	$3.02	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.98 / $11.22	Facility		$2.09	$3.98	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.82 / $3.63	Professional		$1.86	$2.82	$3.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $5.50 / $14.13	Facility		$3.09	$5.50	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.75 / $7.24	Professional		$2.69	$5.75	$7.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $4.68 / $7.59	Professional		$0.05	$4.68	$7.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Professional		$4.68	$4.68	$4.68
United Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.51 / $123.03	Facility		$1.66	$2.51	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.09 / $6.17	Professional		$2.34	$3.09	$6.17