Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $79.39 / $649.29	Facility		$22.62	$79.39	$649.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.05 / $28.99	Professional		$13.56	$18.05	$28.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.52 / $12.52 / $12.52	Professional		$12.52	$12.52	$12.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $20.86 / $26.08	Facility		$9.28	$20.86	$26.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $12.62 / $16.02	Professional		$10.30	$12.62	$16.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.56 / $24.41 / $75.53	Facility		$13.56	$24.41	$75.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $23.95 / $29.94	Professional		$15.67	$23.95	$29.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $20.86 / $21.90	Professional		$0.20	$20.86	$21.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $7.17 / $7.17	Professional		$7.17	$7.17	$7.17
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.41 / $29.15	Professional		$8.76	$12.41	$29.15