Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $83.18 / $645.65	Facility		$24.55	$83.18	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $25.12	Professional		$12.88	$15.85	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $15.14 / $42.66	Facility		$7.94	$15.14	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $13.80	Professional		$8.91	$10.72	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $20.89 / $53.70	Facility		$11.75	$20.89	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $33.11	Professional		$12.88	$20.42	$33.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.25 / $17.78 / $29.51	Professional		$0.25	$17.78	$29.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $12.30 / $60.26	Facility		$6.31	$12.30	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $25.12	Professional		$7.59	$10.72	$25.12