Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.84 / $36.31	Facility		$14.13	$28.84	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $24.55	Professional		$14.13	$14.13	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.14 / $45.71	Facility		$14.45	$15.14	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $14.45 / $14.45	Facility		$8.51	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $20.42	Professional		$14.45	$14.45	$20.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $77.62	Professional		$72.44	$74.13	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $11.22	Professional		$10.96	$10.96	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $18.62	Professional		$14.45	$14.45	$18.62