Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $50.12	Professional		$21.88	$29.51	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $63.10	Facility		$58.88	$58.88	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $42.66	Professional		$31.62	$31.62	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $43.65 / $46.77	Facility		$28.18	$43.65	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $64.57	Professional		$32.36	$32.36	$64.57
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $104.71	Professional		$33.88	$58.88	$104.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $61.66	Professional		$52.48	$58.88	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $26.30 / $30.90	Facility		$19.95	$26.30	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $54.95	Professional		$20.89	$31.62	$54.95