Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $45.71 / $173.78	Facility		$23.99	$45.71	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $28.84	Professional		$16.98	$20.89	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.05 / $54.95	Facility		$10.23	$19.05	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $17.78	Professional		$11.22	$13.80	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $69.18	Facility		$15.14	$26.92	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.30 / $41.69	Professional		$16.60	$26.30	$41.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $22.91 / $37.15	Professional		$0.28	$22.91	$37.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Select Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $15.85 / $15.85	Facility		$7.94	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $40.74	Professional		$9.55	$13.80	$40.74