Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $40.74 / $51.29	Facility		$19.95	$40.74	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $32.36	Professional		$19.95	$19.95	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $21.38 / $64.57	Facility		$20.42	$21.38	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $27.54	Professional		$20.42	$20.42	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $52.48 / $56.23	Professional		$51.29	$52.48	$56.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.90	Professional		$30.20	$30.20	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $32.36	Professional		$20.42	$20.42	$32.36