Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.23 / $159.71 / $312.32	Facility		$16.23	$159.71	$312.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $9.56 / $9.94	Professional		$3.34	$9.56	$9.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $5.86	Professional		$5.86	$5.86	$5.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $9.77 / $12.21	Facility		$4.34	$9.77	$12.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.91 / $7.50	Professional		$3.91	$5.91	$7.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.35 / $11.43 / $35.36	Facility		$6.35	$11.43	$35.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $11.15 / $13.94	Professional		$8.64	$11.15	$13.94
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $9.77 / $10.26	Professional		$0.06	$9.77	$10.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $59.05 / $59.05 / $59.05	Facility		$59.05	$59.05	$59.05
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $9.77	Professional		$5.21	$5.21	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $3.42 / $5.86 / $9.77	Professional		$3.42	$5.86	$9.77