Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $70.79 / $169.82	Facility		$33.88	$70.79	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $79.43	Professional		$22.91	$40.74	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $57.54	Professional		$14.79	$20.89	$57.54
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 / $18.20 / $57.54	Professional		$17.38	$18.20	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $40.74 / $104.71	Facility		$22.91	$40.74	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $51.29	Professional		$26.92	$41.69	$51.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $37.15 / $43.65	Professional		$12.02	$37.15	$43.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
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 $20.89 / $29.51 / $54.95	Professional		$20.89	$29.51	$54.95