Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $64.57 / $257.04	Facility		$25.70	$64.57	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $39.81	Professional		$25.12	$28.18	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.18 / $81.28	Facility		$15.14	$28.18	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $26.30	Professional		$16.60	$20.42	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $39.81 / $102.33	Facility		$22.39	$39.81	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $61.66	Professional		$24.55	$38.90	$61.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.32 / $33.88 / $54.95	Professional		$0.32	$33.88	$54.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $23.44 / $23.44	Facility		$11.75	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $47.86	Professional		$14.13	$20.42	$47.86