Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.27 / $42.42 / $395.40	Facility		$22.27	$42.42	$395.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $15.22 / $21.21	Professional		$13.99	$15.22	$21.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Professional		$12.73	$12.73	$12.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $21.21 / $26.51	Facility		$9.44	$21.21	$26.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $12.83 / $15.56	Professional		$8.48	$12.83	$15.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.79 / $24.82 / $76.81	Facility		$13.79	$24.82	$76.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $24.37 / $30.46	Professional		$12.24	$24.37	$30.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.19 / $21.21 / $22.27	Professional		$0.19	$21.21	$22.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $5.66 / $5.66	Professional		$5.66	$5.66	$5.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.73 / $31.82	Professional		$8.91	$12.73	$31.82