Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $145.07 / $1,013.88	Facility		$28.00	$145.07	$1,013.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $66.54 / $88.72	Professional		$22.89	$66.54	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $15.27	Professional		$15.27	$15.27	$15.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $25.45 / $31.81	Facility		$11.33	$25.45	$31.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $15.39 / $19.54	Professional		$12.57	$15.39	$19.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $29.77 / $92.13	Facility		$16.54	$29.77	$92.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $29.32 / $36.65	Professional		$19.09	$29.32	$36.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $25.45 / $26.72	Professional		$0.33	$25.45	$26.72
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $8.74 / $8.74	Professional		$8.74	$8.74	$8.74
United Facility/Professional Facility Modifier Low / Median / High Price $17.46 / $17.46 / $17.46	Facility		$17.46	$17.46	$17.46
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $14.93 / $25.45	Professional		$10.69	$14.93	$25.45