Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $20.89	Professional		$10.00	$15.14	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $16.98	Professional		$12.02	$12.02	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $20.42	Facility		$15.85	$15.85	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.49 / $15.85	Professional		$9.77	$13.49	$15.85
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $24.55 / $42.66	Professional		$14.13	$24.55	$42.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $24.55	Professional		$20.89	$24.55	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $0.16 / $9.33 / $9.33	Facility		$0.16	$9.33	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $21.88	Professional		$7.94	$12.88	$21.88