Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $21.38 / $97.72	Facility		$10.00	$21.38	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.22 / $15.85	Professional		$8.32	$11.22	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.96 / $30.90	Facility		$5.75	$10.96	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $10.00	Professional		$6.31	$7.76	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.14 / $38.90	Facility		$8.51	$15.14	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.79 / $22.91	Professional		$9.33	$14.79	$22.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $12.88 / $20.89	Professional		$0.18	$12.88	$20.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.91 / $37.15	Facility		$4.47	$8.91	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $18.20	Professional		$5.37	$7.76	$18.20