Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $91.29 / $222.30	Facility		$39.13	$91.29	$222.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.07 / $37.27 / $154.00	Professional		$29.07	$37.27	$154.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Professional		$22.36	$22.36	$22.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $37.27 / $46.59	Facility		$16.59	$37.27	$46.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $27.65	Professional		$17.32	$17.32	$27.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $43.61 / $134.96	Facility		$24.23	$43.61	$134.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $28.12 / $54.55	Professional		$25.56	$28.12	$54.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $39.13	Professional		$12.06	$12.06	$39.13
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $12.06	Professional		$12.06	$12.06	$12.06
United Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $55.91 / $55.91	Facility		$55.91	$55.91	$55.91
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $20.88 / $43.33	Professional		$15.65	$20.88	$43.33