Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $26.30 / $87.10	Facility		$12.02	$26.30	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $24.55	Professional		$7.08	$10.96	$24.55
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	CO	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $9.12 / $14.13 / $17.78	Professional	CQ	$9.12	$14.13	$17.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $11.22 / $11.22 / $11.22	Professional	CQ	$11.22	$11.22	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $21.88 / $75.86	Professional		$10.23	$21.88	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $60.26 / $70.79	Facility		$54.95	$60.26	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.22 / $17.78	Professional		$7.59	$11.22	$17.78
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $14.45 / $22.91	Professional		$0.20	$14.45	$22.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.20 / $0.20 / $21.38	Professional		$0.20	$0.20	$21.38
Select Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.45 / $15.49	Professional		$13.49	$14.45	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $18.62	Professional		$10.72	$13.80	$18.62