Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $31.62 / $190.55	Facility		$15.85	$31.62	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $34.67	Professional		$9.55	$11.75	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.76 / $23.44	Professional		$5.75	$7.76	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.72 / $30.90	Facility		$5.75	$10.72	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $10.00	Professional		$6.31	$7.76	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.14 / $38.90	Facility		$8.91	$15.14	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.79 / $22.91	Professional		$9.33	$14.79	$22.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $12.88 / $20.89	Professional		$0.11	$12.88	$20.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.91 / $8.91	Facility		$4.47	$8.91	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $18.20	Professional		$5.37	$7.76	$18.20