Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $67.61 / $263.03	Facility		$26.92	$67.61	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $37.15	Professional		$19.05	$25.12	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $30.90	Facility		$24.55	$30.90	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.20 / $104.71	Facility		$0.66	$1.20	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $38.02	Professional		$12.30	$16.98	$38.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $0.44 / $4.37	Professional		$0.25	$0.44	$4.37
Select Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.13 / $26.30	Professional		$10.23	$14.13	$26.30