Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $24.72 / $210.00	Facility		$13.25	$24.72	$210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.58 / $13.25	Professional		$7.02	$9.58	$13.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $7.95	Professional		$7.95	$7.95	$7.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $13.25 / $16.55	Facility		$5.90	$13.25	$16.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $8.01 / $10.17	Professional		$6.54	$8.01	$10.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $15.50 / $47.96	Facility		$8.61	$15.50	$47.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $15.28 / $19.10	Professional		$9.00	$15.28	$19.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $13.25 / $13.91	Professional		$0.18	$13.25	$13.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $4.51 / $4.51	Professional		$4.51	$4.51	$4.51
United Facility/Professional Facility Modifier Low / Median / High Price $19.88 / $19.88 / $19.88	Facility		$19.88	$19.88	$19.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $7.60 / $16.36	Professional		$5.57	$7.60	$16.36