Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $64.38 / $168.99	Facility		$6.26	$64.38	$168.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.64 / $7.05	Professional		$4.53	$5.64	$7.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $3.88 / $3.88	Professional		$3.88	$3.88	$3.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $6.47 / $8.09	Facility		$2.88	$6.47	$8.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $3.91 / $4.96	Professional		$3.20	$3.91	$4.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.21 / $7.58 / $23.45	Facility		$4.21	$7.58	$23.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $7.43 / $9.28	Professional		$4.86	$7.43	$9.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $6.47 / $6.79	Professional		$0.09	$6.47	$6.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $1.96 / $1.96	Professional		$1.96	$1.96	$1.96
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $3.80 / $7.99	Professional		$2.72	$3.80	$7.99