Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $36.75 / $133.61	Facility		$19.70	$36.75	$133.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $17.66 / $123.52	Professional		$12.81	$17.66	$123.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $19.70 / $24.63	Facility		$8.77	$19.70	$24.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $11.91 / $15.12	Professional		$9.69	$11.91	$15.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $23.06 / $71.34	Facility		$12.81	$23.06	$71.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $22.72 / $28.39	Professional		$14.76	$22.72	$28.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $19.70 / $20.69	Professional		$0.11	$19.70	$20.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $6.75	Professional		$6.75	$6.75	$6.75
United Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $11.52 / $19.70	Professional		$8.27	$11.52	$19.70