Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $47.86	Facility		$19.05	$38.02	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $23.99	Professional		$19.05	$19.05	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.95 / $60.26	Facility		$19.05	$19.95	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $30.90	Professional		$19.05	$19.05	$30.90
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 Professional Modifier Low / Median / High Price $19.05 / $19.05 / $22.39	Professional		$19.05	$19.05	$22.39