Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $24.55 / $30.90	Facility		$12.02	$24.55	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.14	Professional		$12.02	$12.02	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.88 / $38.90	Facility		$12.02	$12.88	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.30	Facility		$12.02	$12.02	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $19.95	Professional		$12.30	$12.30	$19.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $14.45	Professional		$12.02	$12.02	$14.45