Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $48.98 / $213.80	Facility		$25.70	$48.98	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $30.20	Professional		$19.05	$22.39	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $21.38 / $61.66	Facility		$11.48	$21.38	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $19.50	Professional		$12.59	$15.49	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.20 / $75.86	Facility		$17.78	$30.20	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $45.71	Professional		$18.62	$29.51	$45.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $25.70 / $41.69	Professional		$0.31	$25.70	$41.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.38 / $89.13	Facility		$8.91	$17.38	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $35.48	Professional		$10.72	$15.49	$35.48