Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.10 / $64.06 / $85.07	Facility		$36.10	$64.06	$85.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $28.10 / $44.36	Professional		$20.44	$28.10	$44.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.17 / $38.57 / $48.21	Facility		$17.17	$38.57	$48.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $23.33 / $28.31	Professional		$15.43	$23.33	$28.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $45.13 / $139.63	Facility		$25.07	$45.13	$139.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $44.19 / $55.24	Professional		$21.60	$44.19	$55.24
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $38.57 / $40.50	Professional		$9.64	$38.57	$40.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $9.64	Professional		$9.64	$9.64	$9.64
United Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $16.20 / $38.57	Professional		$13.50	$16.20	$38.57