Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $25.70	Facility		$23.99	$23.99	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $69.18	Professional		$20.89	$25.70	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $27.54	Professional		$13.18	$16.22	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.18 / $45.71	Professional		$14.79	$28.18	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $51.29	Professional		$21.88	$28.84	$51.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $25.70 / $36.31	Professional		$0.30	$25.70	$36.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $30.20 / $37.15	Professional		$0.30	$30.20	$37.15
Select Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $28.18	Professional		$19.95	$25.12	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $50.12	Professional		$20.89	$28.18	$50.12