Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $38.02	Facility		$15.14	$30.20	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.05	Professional		$15.14	$15.14	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.85 / $47.86	Facility		$15.14	$15.85	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $24.55	Professional		$15.14	$15.14	$24.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $18.20	Professional		$15.14	$15.14	$18.20