Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $54.95 / $204.17	Facility		$23.44	$54.95	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.88 / $34.67	Professional		$13.80	$21.88	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $70.79	Facility		$22.91	$22.91	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.88	Professional		$21.38	$21.38	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $36.31	Professional		$15.85	$15.85	$36.31
Select Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $21.88	Professional		$19.05	$21.88	$21.88