Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $57.54 / $218.78	Facility		$26.30	$57.54	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $23.99	Professional		$18.20	$22.39	$23.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $15.14	Professional		$10.72	$12.59	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $21.38 / $60.26	Facility		$11.22	$21.38	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $19.50	Professional		$12.59	$15.14	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.51 / $75.86	Facility		$16.60	$29.51	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $45.71	Professional		$18.20	$28.84	$45.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $25.12 / $40.74	Professional		$0.31	$25.12	$40.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.38 / $17.38	Facility		$8.91	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $35.48	Professional		$10.72	$15.14	$35.48