Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $11.75 / $45.71	Facility		$3.98	$11.75	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $7.08	Professional		$3.98	$3.98	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.13 / $14.45	Facility		$2.69	$5.13	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.63 / $4.68	Professional		$2.45	$3.63	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $7.08 / $18.20	Facility		$3.98	$7.08	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.08 / $8.91	Professional		$3.63	$7.08	$8.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $6.03 / $9.77	Professional		$0.06	$6.03	$9.77
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.47 / $4.17	Facility		$2.14	$3.47	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.47 / $7.94	Professional		$2.51	$3.47	$7.94