Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $23.99 / $93.33	Facility		$11.22	$23.99	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $15.14	Professional		$8.91	$10.72	$15.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10.00 / $28.84	Facility		$5.37	$10.00	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.24 / $9.12	Professional		$5.89	$7.24	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $14.13 / $36.31	Facility		$7.94	$14.13	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $21.88	Professional		$8.91	$13.49	$21.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.17 / $12.02 / $19.50	Professional		$0.17	$12.02	$19.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $8.32 / $8.32	Facility		$4.17	$8.32	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $16.98	Professional		$5.01	$7.24	$16.98