Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $56.23 / $218.78	Facility		$21.88	$56.23	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $47.86	Professional		$19.95	$23.99	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $24.55 / $70.79	Facility		$12.88	$24.55	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $29.51	Professional		$11.75	$11.75	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.88 / $87.10	Facility		$19.05	$33.88	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $42.66	Professional		$14.45	$18.62	$42.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $29.51 / $44.67	Professional		$6.46	$29.51	$44.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $19.95	Facility		$14.13	$14.13	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $30.90	Professional		$12.30	$12.30	$30.90