Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.59 / $15.49	Facility		$6.03	$12.59	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $8.91	Professional		$6.03	$6.03	$8.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $19.95	Facility		$6.46	$6.46	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.24 / $7.24	Professional		$6.17	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.55 / $24.55	Professional		$10.00	$24.55	$24.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $26.30	Professional		$6.17	$6.17	$26.30