Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $49.58 / $4,187.47	Facility		$21.53	$49.58	$4,187.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.17 / $59.03	Professional		$21.53	$22.17	$59.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $25.08 / $25.08	Professional		$25.08	$25.08	$25.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $22.61 / $68.68	Facility		$19.70	$22.61	$68.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $21.69	Professional		$21.53	$21.53	$21.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $21.52 / $21.52	Facility		$21.52	$21.52	$21.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $30.46	Professional		$21.52	$21.52	$30.46
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $23.35 / $47.05	Professional		$23.35	$23.35	$47.05
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $22.82	Professional		$21.53	$21.53	$22.82