Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $346.74 / $407.38	Facility		$12.02	$346.74	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $199.53	Professional		$3.98	$5.01	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $6.03	Professional		$5.13	$5.13	$6.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $15.49	Facility		$5.13	$5.13	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.90 / $4.90	Professional		$4.79	$4.90	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $10.96	Professional		$7.94	$10.96	$10.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $12.30	Professional		$4.79	$4.79	$12.30