Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $63.10	Professional		$25.12	$33.88	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $81.28	Facility		$77.62	$77.62	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $45.71	Professional		$34.67	$34.67	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $36.31 / $93.33	Facility		$27.54	$36.31	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $47.86	Professional		$26.30	$26.30	$47.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $138.04	Professional		$43.65	$77.62	$138.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $77.62	Professional		$57.54	$75.86	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $72.44	Facility		$21.88	$38.02	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $70.79	Professional		$26.30	$40.74	$70.79