Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $79.43 / $173.78	Facility		$4.68	$79.43	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.69 / $19.05	Professional		$2.00	$2.69	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.78 / $5.50	Professional		$1.51	$1.78	$5.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $2.51 / $7.24	Facility		$1.32	$2.51	$7.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.82 / $2.29	Professional		$1.48	$1.82	$2.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $3.47 / $8.91	Facility		$2.04	$3.47	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.31 / $5.01	Professional		$2.14	$3.31	$5.01
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $3.02 / $4.90	Professional		$0.06	$3.02	$4.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $1.02	Professional		$1.02	$1.02	$1.02
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
United Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.38 / $2.04	Facility		$1.05	$1.38	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.78 / $6.17	Professional		$1.26	$1.78	$6.17