Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $31.84 / $92.91	Facility		$16.72	$31.84	$92.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $14.32 / $19.01	Professional		$13.83	$14.32	$19.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $15.92 / $19.89	Facility		$7.09	$15.92	$19.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $9.63 / $12.22	Professional		$7.86	$9.63	$12.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.35 / $18.63 / $57.65	Facility		$10.35	$18.63	$57.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $19.01 / $22.72	Professional		$12.23	$19.01	$22.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.07 / $15.92 / $22.95	Professional		$0.07	$15.92	$22.95
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.47 / $5.47	Professional		$5.47	$5.47	$5.47
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.33 / $22.22	Professional		$9.55	$13.33	$22.22