Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $50.12 / $223.87	Facility		$22.91	$50.12	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $33.88	Professional		$19.95	$22.91	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.12 / $72.44	Facility		$13.18	$25.12	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $22.91	Professional		$12.02	$18.20	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $34.67 / $89.13	Facility		$19.50	$34.67	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $67.61	Professional		$17.38	$34.67	$67.61
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $30.20 / $48.98	Professional		$0.25	$30.20	$48.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.02 / $60.26	Facility		$6.03	$12.02	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $38.90	Professional		$11.22	$17.78	$38.90