Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $38.02 / $147.91	Facility		$15.14	$38.02	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $27.54	Professional		$14.13	$18.20	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.55 / $24.55	Facility		$19.50	$24.55	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $15.14	Professional		$9.77	$11.75	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.91 / $58.88	Facility		$12.88	$22.91	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $28.18	Professional		$14.13	$15.14	$28.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $31.62	Professional		$19.50	$19.50	$31.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $21.38	Facility		$13.49	$13.49	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $27.54	Professional		$8.32	$11.75	$27.54