Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $37.15 / $52.48	Facility		$21.88	$37.15	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.88 / $29.51	Professional		$21.38	$21.88	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $22.91	Professional		$14.79	$21.88	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $22.91 / $70.79	Facility		$21.88	$22.91	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $36.31	Professional		$19.95	$19.95	$36.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.90	Professional		$21.88	$21.88	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $23.99	Professional		$19.95	$23.44	$23.99