Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $11.22 / $29.51	Facility		$4.90	$11.22	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $29.51	Professional		$2.00	$2.69	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.19 / $3.63	Professional		$1.51	$2.19	$3.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $3.09 / $8.71	Facility		$1.62	$3.09	$8.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.19 / $2.82	Professional		$1.48	$2.19	$2.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $4.27 / $10.96	Facility		$2.40	$4.27	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $4.17 / $5.13	Professional		$2.14	$4.17	$5.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $3.63 / $5.89	Professional		$0.17	$3.63	$5.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.02	Professional		$1.02	$1.02	$1.02
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.04 / $2.51	Facility		$1.26	$2.04	$2.51
United Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $2.09 / $4.68	Professional		$1.51	$2.09	$4.68