Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $117.49 / $575.44	Facility		$28.18	$117.49	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $45.71 / $83.18	Professional		$19.05	$45.71	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.49	Professional		$15.14	$15.14	$15.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $21.38 / $61.66	Facility		$11.22	$21.38	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $19.50	Professional		$12.59	$15.49	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.51 / $75.86	Facility		$16.60	$29.51	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $29.51 / $45.71	Professional		$18.62	$29.51	$45.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $25.70 / $41.69	Professional		$0.30	$25.70	$41.69
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.38 / $17.38	Facility		$8.91	$17.38	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $35.48	Professional		$10.72	$15.14	$35.48