Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $68.48 / $227.48	Facility		$26.74	$68.48	$227.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $21.78 / $23.08	Professional		$13.50	$21.78	$23.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $15.28	Professional		$15.28	$15.28	$15.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $25.47 / $31.84	Facility		$11.34	$25.47	$31.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $15.40 / $19.55	Professional		$12.58	$15.40	$19.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $29.81 / $92.24	Facility		$16.55	$29.81	$92.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $29.32 / $36.65	Professional		$19.09	$29.32	$36.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $25.47 / $26.74	Professional		$0.37	$25.47	$26.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Professional		$8.75	$8.75	$8.75
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.94 / $25.47	Professional		$8.91	$14.94	$25.47