Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $33.70 / $156.80	Facility		$20.28	$33.70	$156.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $18.11 / $18.39	Professional		$10.75	$18.11	$18.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $12.17 / $12.17	Professional		$12.17	$12.17	$12.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $20.28 / $25.35	Facility		$9.02	$20.28	$25.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.26 / $15.57	Professional		$10.02	$12.26	$15.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $23.72 / $73.41	Facility		$13.18	$23.72	$73.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $23.54 / $29.43	Professional		$15.12	$23.54	$29.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $20.28 / $21.29	Professional		$0.25	$20.28	$21.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.97 / $6.97 / $6.97	Professional		$6.97	$6.97	$6.97
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $20.28 / $34.57	Professional		$8.52	$20.28	$34.57