Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $56.23 / $257.04	Facility		$25.70	$56.23	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $47.86	Professional		$21.88	$28.84	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.84 / $81.28	Facility		$15.14	$28.84	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $26.30	Professional		$15.49	$20.89	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $39.81 / $102.33	Facility		$22.39	$39.81	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $57.54	Professional		$22.91	$38.90	$57.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $33.88 / $56.23	Professional		$0.50	$33.88	$56.23
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.88 / $23.44	Facility		$12.02	$21.88	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $44.67	Professional		$14.45	$20.42	$44.67