Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $44.67 / $138.04	Facility		$14.13	$44.67	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $21.88	Professional		$12.88	$16.22	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $15.49 / $43.65	Facility		$8.13	$15.49	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $14.13	Professional		$9.12	$11.22	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.38 / $54.95	Facility		$12.02	$21.38	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.89 / $33.11	Professional		$13.18	$20.89	$33.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $18.20 / $30.20	Professional		$0.21	$18.20	$30.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.59 / $12.59	Facility		$6.46	$12.59	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $27.54	Professional		$7.76	$10.96	$27.54