Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $81.28 / $630.96	Facility		$14.13	$81.28	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $26.30	Professional		$10.96	$14.13	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.59 / $36.31	Facility		$6.76	$12.59	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.12 / $11.48	Professional		$7.41	$9.12	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.78 / $44.67	Facility		$10.00	$17.78	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $26.92	Professional		$10.96	$17.38	$26.92
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $15.14 / $24.55	Professional		$0.21	$15.14	$24.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.23 / $60.26	Facility		$5.25	$10.23	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.12 / $20.89	Professional		$6.31	$9.12	$20.89