Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $38.90	Professional		$19.05	$28.18	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $47.86	Facility		$45.71	$45.71	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $32.36	Professional		$25.12	$25.12	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.84 / $34.67	Facility		$20.89	$28.84	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.38 / $28.84	Professional		$18.62	$21.38	$28.84
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $79.43	Professional		$23.99	$45.71	$79.43
Select Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $45.71 / $45.71	Professional		$39.81	$45.71	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.91 / $33.88	Facility		$22.39	$22.91	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $41.69	Professional		$15.85	$25.70	$41.69