Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $87.10 / $169.82	Facility		$24.55	$87.10	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $23.44 / $33.11	Professional		$12.88	$23.44	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.96 / $11.22	Professional		$9.55	$10.96	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $15.14 / $43.65	Facility		$8.13	$15.14	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $13.80	Professional		$8.91	$10.96	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.38 / $54.95	Facility		$12.02	$21.38	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.42 / $33.11	Professional		$13.18	$20.42	$33.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.15 / $18.20 / $29.51	Professional		$0.15	$18.20	$29.51
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $12.59 / $12.59	Facility		$6.31	$12.59	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $25.12	Professional		$7.59	$10.96	$25.12