Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $23.99 / $93.33	Facility		$8.91	$23.99	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $14.13	Professional		$8.91	$10.00	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.47 / $30.20	Facility		$5.50	$10.47	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $9.55	Professional		$6.17	$7.59	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $14.45 / $37.15	Facility		$8.13	$14.45	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $22.91	Professional		$8.91	$14.45	$22.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $12.59 / $20.42	Professional		$0.15	$12.59	$20.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $2.69	Professional		$2.69	$2.69	$2.69
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $8.51 / $8.51	Facility		$4.37	$8.51	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $22.39	Professional		$5.25	$7.41	$22.39