Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $63.10 / $218.78	Facility		$27.54	$63.10	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $34.67	Professional		$20.89	$26.30	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $24.55 / $70.79	Facility		$13.18	$24.55	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $22.39	Professional		$14.45	$17.78	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.88 / $87.10	Facility		$19.05	$33.88	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $52.48	Professional		$21.38	$33.88	$52.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $29.51 / $47.86	Professional		$0.30	$29.51	$47.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.95 / $104.71	Facility		$10.23	$19.95	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $40.74	Professional		$12.30	$17.38	$40.74