Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $67.61 / $263.03	Facility		$26.92	$67.61	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $41.69	Professional		$22.91	$26.92	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $17.38	Professional		$13.18	$13.18	$17.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $29.51 / $85.11	Facility		$15.49	$29.51	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $57.54	Professional		$17.38	$17.38	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $104.71	Facility		$24.55	$40.74	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $39.81 / $51.29	Professional		$17.38	$39.81	$51.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $35.48 / $53.70	Professional		$10.96	$35.48	$53.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Select Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $69.18	Professional		$14.79	$20.89	$69.18