Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $93.33 / $251.19	Facility		$39.81	$93.33	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $44.67	Professional		$28.18	$33.88	$44.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $22.91	Professional		$19.95	$19.95	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $31.62 / $91.20	Facility		$16.98	$31.62	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $28.84	Professional		$18.62	$22.91	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $43.65 / $112.20	Facility		$24.55	$43.65	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $69.18	Professional		$27.54	$43.65	$69.18
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.40 / $38.02 / $61.66	Professional		$0.40	$38.02	$61.66
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.70 / $25.70	Facility		$13.18	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $52.48	Professional		$15.85	$22.39	$52.48