Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $22.78 / $28.28	Facility		$12.28	$22.78	$28.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $12.28 / $56.62	Professional		$12.27	$12.28	$56.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $15.62 / $15.62	Professional		$15.62	$15.62	$15.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $12.89 / $39.17	Facility		$11.24	$12.89	$39.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.44	Professional		$12.28	$12.28	$12.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $17.13	Facility		$12.28	$12.28	$17.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Professional		$12.28	$12.28	$12.28
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $13.33 / $31.20	Professional		$13.33	$13.33	$31.20
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $30.43 / $30.43 / $30.43	Facility		$30.43	$30.43	$30.43
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Professional		$12.28	$12.28	$12.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $13.02	Professional		$12.28	$12.28	$13.02