Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $95.50	Facility		$83.18	$83.18	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $199.53	Professional		$83.18	$85.11	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.88 / $15.14	Professional		$11.22	$12.88	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $25.12 / $72.44	Facility		$13.49	$25.12	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $22.91	Professional		$12.02	$18.20	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $35.48 / $89.13	Facility		$19.50	$35.48	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $21.88 / $43.65	Professional		$8.91	$21.88	$43.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $30.20 / $48.98	Professional		$0.16	$30.20	$48.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.47 / $20.42	Facility		$8.32	$10.47	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $14.79 / $30.20	Professional		$6.92	$14.79	$30.20