Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $48.30 / $139.04	Facility		$29.35	$48.30	$139.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $25.57 / $33.94	Professional		$22.89	$25.57	$33.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $17.61	Professional		$17.61	$17.61	$17.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $24.65 / $36.69	Facility		$13.07	$24.65	$36.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $17.75 / $21.54	Professional		$14.49	$17.75	$21.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $34.34 / $106.28	Facility		$19.07	$34.34	$106.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $33.86 / $42.33	Professional		$22.57	$33.86	$42.33
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $29.35 / $30.82	Professional		$0.28	$29.35	$30.82
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Professional		$10.09	$10.09	$10.09
United Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $44.03 / $44.03	Facility		$44.03	$44.03	$44.03
United Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $17.46 / $38.49	Professional		$12.33	$17.46	$38.49