Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.12 / $97.72	Facility		$10.00	$25.12	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $15.85	Professional		$8.91	$10.96	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $10.96 / $31.62	Facility		$5.89	$10.96	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $10.00	Professional		$6.46	$7.94	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $15.49 / $38.90	Facility		$8.71	$15.49	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $25.70	Professional		$10.23	$14.79	$25.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $13.18 / $21.38	Professional		$0.20	$13.18	$21.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Professional		$4.90	$4.90	$4.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.91 / $9.77	Facility		$4.57	$8.91	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.32 / $19.95	Professional		$5.50	$8.32	$19.95