Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $61.66	Professional		$14.13	$20.42	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.50 / $29.51	Professional		$10.00	$19.50	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $39.81	Facility		$38.02	$38.02	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $26.92	Professional		$20.89	$20.89	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $29.51	Facility		$18.20	$24.55	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $24.55	Professional		$18.20	$18.20	$24.55
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.02 / $66.07	Professional		$21.88	$38.02	$66.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $39.81	Professional		$33.88	$38.02	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.98 / $19.95	Facility		$12.88	$16.98	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $34.67	Professional		$13.49	$21.88	$34.67