Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $28.84 / $169.82	Facility		$12.30	$28.84	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.47 / $74.13	Professional		$7.94	$10.47	$74.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $6.17 / $7.24	Professional		$3.16	$6.17	$7.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10.00 / $28.18	Facility		$5.25	$10.00	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.08 / $9.12	Professional		$5.75	$7.08	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $13.80 / $35.48	Facility		$7.76	$13.80	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $20.89	Professional		$8.71	$13.18	$20.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $11.75 / $19.05	Professional		$0.18	$11.75	$19.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Professional		$4.07	$4.07	$4.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $8.13 / $8.13	Facility		$4.07	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.08 / $16.60	Professional		$4.90	$7.08	$16.60