Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $194.98	Facility		$19.95	$50.12	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $42.66	Professional		$19.05	$23.99	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $21.88 / $63.10	Facility		$11.48	$21.88	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $42.66	Professional		$12.88	$12.88	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.20 / $77.62	Facility		$16.98	$30.20	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.44 / $38.02	Professional		$13.18	$23.44	$38.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $26.30 / $39.81	Professional		$8.13	$26.30	$39.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $36.31	Professional		$10.96	$15.49	$36.31