Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $18.62 / $22.91	Facility		$8.91	$18.62	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $10.96	Professional		$8.91	$8.91	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $29.51	Facility		$9.55	$9.55	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.79	Professional		$11.75	$11.75	$14.79
Select Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $13.18	Professional		$9.12	$9.12	$13.18