Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $7.76 / $9.77	Facility		$3.02	$7.76	$9.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $8,128.31	Professional		$3.02	$3.98	$8,128.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.07 / $12.30	Facility		$3.89	$4.07	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $16.22 / $16.22	Professional		$6.31	$16.22	$16.22
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $17.78	Professional		$3.89	$3.89	$17.78