Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $30.90 / $112.20	Facility		$13.80	$30.90	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.48 / $15.14	Professional		$8.91	$11.48	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $19.95	Professional		$6.31	$7.76	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $10.72 / $30.90	Facility		$5.62	$10.72	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $9.77	Professional		$6.31	$7.76	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $14.79 / $38.02	Facility		$8.32	$14.79	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $22.91	Professional		$9.33	$14.45	$22.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $12.88 / $20.89	Professional		$0.12	$12.88	$20.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.71 / $8.71	Facility		$4.47	$8.71	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $17.78	Professional		$5.37	$7.59	$17.78