Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $51.29 / $158.49	Facility		$15.85	$51.29	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $51.29	Professional		$14.13	$16.98	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $17.78 / $50.12	Facility		$9.33	$17.78	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.59 / $16.22	Professional		$9.33	$12.59	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $24.55 / $63.10	Facility		$13.80	$24.55	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $24.55 / $33.88	Professional		$13.80	$24.55	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $20.89 / $33.88	Professional		$0.27	$20.89	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $12.88 / $23.99	Facility		$7.41	$12.88	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $26.92	Professional		$8.71	$12.59	$26.92