Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $41.67 / $176.00	Facility		$23.46	$41.67	$176.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.43 / $19.47 / $25.84	Professional		$17.43	$19.47	$25.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $13.40 / $13.40	Professional		$13.40	$13.40	$13.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $18.77 / $27.93	Facility		$9.94	$18.77	$27.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $13.51 / $16.39	Professional		$11.04	$13.51	$16.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $26.14 / $80.88	Facility		$14.52	$26.14	$80.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $26.55 / $32.01	Professional		$17.18	$26.55	$32.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.33 / $22.34 / $23.46	Professional		$0.33	$22.34	$23.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $7.68	Professional		$7.68	$7.68	$7.68
United Facility/Professional Facility Modifier Low / Median / High Price $33.51 / $33.51 / $33.51	Facility		$33.51	$33.51	$33.51
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $13.11 / $31.21	Professional		$9.38	$13.11	$31.21