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 $22.91 / $30.20 / $52.48	Professional		$22.91	$30.20	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $64.57	Facility		$61.66	$61.66	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $43.65	Professional		$32.36	$32.36	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $36.31 / $47.86	Facility		$28.84	$36.31	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $47.86	Professional		$26.92	$26.92	$47.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $107.15	Professional		$34.67	$61.66	$107.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $63.10	Professional		$53.70	$61.66	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.92 / $31.62	Facility		$20.42	$26.92	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $56.23	Professional		$21.38	$32.36	$56.23