Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $58.88	Professional		$23.99	$23.99	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.44 / $38.02	Professional		$12.02	$23.44	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.70 / $77.62	Facility		$24.55	$25.70	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $45.71	Professional		$25.12	$25.12	$45.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $31.62	Professional		$27.54	$29.51	$31.62