Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $94.27 / $1,019.06	Facility		$22.00	$94.27	$1,019.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $8.57 / $15.20	Professional		$3.00	$8.57	$15.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $5.30	Professional		$4.55	$4.55	$5.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.00 / $4.05 / $9.97	Facility		$3.00	$4.05	$9.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $2.44 / $4.08	Professional		$1.20	$2.44	$4.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $8.63 / $10.90	Facility		$2.29	$8.63	$10.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.88 / $2.87	Professional		$1.50	$1.88	$2.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $9.34 / $14.00	Professional		$0.75	$9.34	$14.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.75	Professional		$0.12	$0.12	$0.75
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $3.00 / $3.00	Professional		$1.26	$3.00	$3.00