Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $46.77	Professional		$23.99	$32.36	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Facility		$63.10	$63.10	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $44.67	Professional		$33.11	$33.11	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $34.67 / $48.98	Facility		$29.51	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $36.31	Professional		$18.62	$25.70	$36.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $63.10 / $109.65	Professional		$35.48	$63.10	$109.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $64.57	Professional		$56.23	$63.10	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $27.54 / $32.36	Facility		$21.38	$27.54	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $39.81 / $57.54	Professional		$21.88	$39.81	$57.54