Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $69.18 / $234.42	Facility		$29.51	$69.18	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $33.11	Professional		$19.05	$25.12	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.98 / $16.98	Professional		$12.59	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $23.44 / $67.61	Facility		$12.59	$23.44	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $21.38	Professional		$13.80	$16.98	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.11 / $85.11	Facility		$18.62	$33.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $51.29	Professional		$20.42	$32.36	$51.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $28.18 / $45.71	Professional		$0.28	$28.18	$45.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.50 / $19.50	Facility		$9.77	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $38.90	Professional		$11.75	$16.98	$38.90