Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $57.54 / $229.09	Facility		$22.91	$57.54	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $36.31	Professional		$19.95	$25.12	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $25.12 / $72.44	Facility		$13.49	$25.12	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.20 / $22.91	Professional		$13.80	$18.20	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $43.65	Professional		$34.67	$34.67	$43.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $30.20 / $48.98	Professional		$0.33	$30.20	$48.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
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 $10.47 / $19.05 / $20.89	Facility		$10.47	$19.05	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $43.65	Professional		$12.59	$18.20	$43.65