Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $53.70 / $426.58	Facility		$23.99	$53.70	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $25.70	Professional		$15.14	$19.05	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $18.62 / $52.48	Facility		$9.77	$18.62	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $16.98	Professional		$10.96	$13.18	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $25.70 / $66.07	Facility		$14.45	$25.70	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $39.81	Professional		$15.85	$25.12	$39.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.27 / $21.88 / $35.48	Professional		$0.27	$21.88	$35.48
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Select Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $15.14 / $75.86	Facility		$7.76	$15.14	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $30.90	Professional		$9.33	$13.18	$30.90