Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $41.69 / $1,737.80	Facility		$19.95	$41.69	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $50.12	Professional		$19.95	$19.95	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $21.38 / $66.07	Facility		$20.42	$21.38	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $20.42	Professional		$19.95	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Facility		$19.50	$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 $20.42 / $20.42 / $33.11	Professional		$20.42	$20.42	$33.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $23.44	Professional		$20.42	$20.42	$23.44