Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $36.31 / $144.54	Facility		$19.50	$36.31	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $21.88	Professional		$14.13	$16.22	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.85 / $44.67	Facility		$8.32	$15.85	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $14.45	Professional		$9.33	$11.22	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $21.88 / $56.23	Facility		$12.30	$21.88	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.38 / $33.88	Professional		$13.80	$21.38	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $18.62 / $30.90	Professional		$0.24	$18.62	$30.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $12.88 / $52.48	Facility		$6.61	$12.88	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $26.30	Professional		$7.94	$11.22	$26.30