Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $42.28 / $1,126.50	Facility		$25.45	$42.28	$1,126.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $19.09 / $25.45	Professional		$10.34	$19.09	$25.45
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 $10.18 / $15.39 / $18.68	Professional		$10.18	$15.39	$18.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $29.77 / $65.11	Facility		$16.54	$29.77	$65.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $29.32 / $36.65	Professional		$14.25	$29.32	$36.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $25.45 / $190.00	Professional		$25.45	$25.45	$190.00
United Facility/Professional Facility Modifier Low / Median / High Price $38.18 / $38.18 / $38.18	Facility		$38.18	$38.18	$38.18
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $10.69 / $25.45	Professional		$10.69	$10.69	$25.45