Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $56.27 / $75.43	Facility		$32.00	$56.27	$75.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $28.18 / $34.19	Professional		$17.53	$28.18	$34.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $34.19 / $42.74	Facility		$15.22	$34.19	$42.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $20.68 / $25.09	Professional		$15.58	$20.68	$25.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $40.00 / $123.77	Facility		$22.22	$40.00	$123.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $39.24 / $49.04	Professional		$23.59	$39.24	$49.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $34.19 / $35.90	Professional		$0.50	$34.19	$35.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $10.84	Professional		$10.84	$10.84	$10.84
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $20.51 / $44.08	Professional		$14.36	$20.51	$44.08