Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $13.80 / $79.43	Facility		$3.98	$13.80	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $6.03	Professional		$3.98	$5.01	$6.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $4.68 / $13.49	Facility		$2.45	$4.68	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.39 / $4.27	Professional		$2.75	$3.39	$4.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $6.46 / $16.60	Facility		$3.63	$6.46	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.17 / $10.00	Professional		$4.17	$6.17	$10.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $5.62 / $9.12	Professional		$0.13	$5.62	$9.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $1.91	Professional		$1.91	$1.91	$1.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $3.80 / $12.02	Facility		$1.95	$3.80	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.31 / $7.76	Professional		$2.34	$3.31	$7.76