Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $40.74 / $338.84	Facility		$15.49	$40.74	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $33.11	Professional		$11.75	$15.14	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.13 / $39.81	Facility		$7.41	$14.13	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.00 / $12.88	Professional		$8.32	$10.00	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.50 / $50.12	Facility		$10.96	$19.50	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $30.20	Professional		$12.02	$19.50	$30.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $16.60 / $26.92	Professional		$0.19	$16.60	$26.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Select Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $11.48 / $47.86	Facility		$5.89	$11.48	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $23.44	Professional		$7.08	$10.00	$23.44