Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $56.23 / $169.82	Facility		$16.98	$56.23	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $31.62	Professional		$16.98	$22.91	$31.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.05 / $54.95	Facility		$10.23	$19.05	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $37.15	Professional		$10.00	$10.00	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $26.92 / $67.61	Facility		$14.79	$26.92	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $33.11	Professional		$11.22	$17.78	$33.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $22.91 / $34.67	Professional		$6.17	$22.91	$34.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
Select Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $15.49	Facility		$13.80	$13.80	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $34.67	Professional		$9.55	$13.80	$34.67