Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $54.53 / $67.45	Facility		$29.29	$54.53	$67.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.59 / $71.79	Professional		$29.29	$29.59	$71.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $34.44 / $34.44	Professional		$34.44	$34.44	$34.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $30.75 / $93.44	Facility		$26.80	$30.75	$93.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.78	Professional		$29.29	$29.29	$29.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $29.29 / $29.29	Facility		$28.21	$29.29	$29.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.78 / $31.78 / $38.86	Professional		$31.78	$31.78	$38.86
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $31.21 / $31.21	Facility		$31.21	$31.21	$31.21
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $37.46	Professional		$29.29	$29.29	$37.46