Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.95	Professional		$19.05	$19.05	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $14.13	Professional		$7.59	$12.02	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $35.48	Professional		$19.50	$19.50	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.91 / $26.30	Professional		$21.88	$22.91	$26.30