Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $144.54 / $223.87	Facility		$37.15	$144.54	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $162.18	Professional		$19.05	$25.12	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.49 / $16.22	Professional		$7.08	$13.49	$16.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.91 / $66.07	Facility		$12.02	$22.91	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $20.89	Professional		$13.18	$16.60	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $31.62 / $81.28	Facility		$17.78	$31.62	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $38.90	Professional		$19.50	$20.42	$38.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $26.92 / $44.67	Professional		$0.28	$26.92	$44.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $18.20 / $18.62	Facility		$9.55	$18.20	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $35.48	Professional		$11.48	$15.85	$35.48