Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.60 / $121.68 / $305.36	Facility		$38.60	$121.68	$305.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.59 / $63.66	Professional		$22.81	$31.59	$63.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $35.09	Professional		$17.55	$17.55	$35.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $35.09 / $43.86	Facility		$15.62	$35.09	$43.86
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 $22.81 / $41.06 / $127.05	Facility		$22.81	$41.06	$127.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.54 / $26.29 / $50.88	Professional		$25.54	$26.29	$50.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $36.84	Professional		$12.06	$12.06	$36.84
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 Professional Modifier Low / Median / High Price $14.74 / $20.60 / $49.00	Professional		$14.74	$20.60	$49.00