Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $53.71 / $1,762.80	Facility		$22.18	$53.71	$1,762.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.55 / $34.21	Professional		$20.35	$20.55	$34.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $28.27	Professional		$25.60	$25.60	$28.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.37 / $64.92	Facility		$18.62	$21.37	$64.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $29.34	Professional		$20.35	$20.35	$29.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.35 / $20.35 / $46.35	Facility		$20.35	$20.35	$46.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $22.08 / $180.00	Professional		$22.08	$22.08	$180.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $46.98 / $46.98	Facility		$46.98	$46.98	$46.98
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $20.35	Professional		$20.35	$20.35	$20.35
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $21.57	Professional		$20.35	$20.35	$21.57