Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $53.70 / $398.11	Facility		$19.95	$53.70	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $47.86	Professional		$14.13	$16.98	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $13.18	Professional		$9.55	$9.55	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.85 / $45.71	Facility		$8.51	$15.85	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $14.45	Professional		$9.33	$11.48	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.39 / $56.23	Facility		$12.59	$22.39	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.88 / $33.88	Professional		$13.80	$21.88	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $19.05 / $30.90	Professional		$0.16	$19.05	$30.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $20.42	Facility		$12.88	$12.88	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $26.30	Professional		$7.94	$11.22	$26.30