Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.95	Professional		$10.96	$12.88	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Facility		$30.20	$30.20	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $25.70	Professional		$21.88	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $22.39	Facility		$16.98	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $22.39	Professional		$12.59	$16.22	$22.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $52.48	Professional		$20.89	$30.20	$52.48
Select Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $30.20	Professional		$28.84	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.13 / $16.60	Facility		$10.23	$14.13	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $30.20	Professional		$11.22	$15.49	$30.20