Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.88	Professional		$12.02	$12.02	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $14.13	Professional		$12.59	$12.59	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $128.82 / $213.80	Professional		$12.59	$128.82	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $128.82 / $131.83	Professional		$13.18	$128.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $32.36 / $125.89	Professional		$12.59	$32.36	$125.89