Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $58.76 / $365.40	Facility		$29.51	$58.76	$365.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.09 / $28.10	Professional		$18.27	$25.09	$28.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $16.86	Professional		$16.86	$16.86	$16.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $28.10 / $35.13	Facility		$12.51	$28.10	$35.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $17.00 / $21.58	Professional		$13.88	$17.00	$21.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $32.89 / $101.76	Facility		$18.27	$32.89	$101.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $32.21 / $40.27	Professional		$21.07	$32.21	$40.27
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $28.10 / $29.51	Professional		$0.28	$28.10	$29.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $9.66 / $9.66	Professional		$9.66	$9.66	$9.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.48 / $28.10	Professional		$11.80	$16.48	$28.10