Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $56.81 / $75.43	Facility		$32.00	$56.81	$75.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.53 / $27.50 / $39.32	Professional		$17.53	$27.50	$39.32
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 $14.02 / $20.68 / $26.25	Professional		$14.02	$20.68	$26.25
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 $17.47 / $39.24 / $49.04	Professional		$17.47	$39.24	$49.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $34.19 / $35.90	Professional		$8.55	$34.19	$35.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $8.55 / $8.55	Professional		$8.55	$8.55	$8.55
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $14.73 / $35.06	Professional		$14.36	$14.73	$35.06