Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $28.84 / $35.48	Facility		$14.13	$28.84	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.98	Professional		$14.13	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.79 / $45.71	Facility		$14.13	$14.79	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Professional		$14.13	$14.13	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $16.98	Professional		$14.45	$14.45	$16.98
Select Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Professional		$14.13	$14.13	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Professional		$14.13	$14.13	$16.60