Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $52.48 / $707.95	Facility		$19.95	$52.48	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $102.33	Professional		$19.95	$21.88	$102.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $25.12	Professional		$17.38	$20.42	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $66.07	Facility		$21.88	$21.88	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $25.12	Professional		$20.42	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $81.28 / $81.28	Professional		$33.88	$81.28	$81.28
Select Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $95.50	Professional		$20.42	$20.42	$95.50