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 $15.14 / $19.95 / $33.11	Professional		$15.14	$19.95	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $38.02	Professional		$29.51	$29.51	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $58.88	Facility		$54.95	$54.95	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $30.90	Professional		$25.12	$25.12	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $22.39	Facility		$16.98	$22.39	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.22 / $22.39	Professional		$13.80	$16.22	$22.39
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $97.72	Professional		$38.90	$54.95	$97.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $61.66	Professional		$40.74	$54.95	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.70 / $28.84	Facility		$13.80	$25.70	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $46.77	Professional		$16.98	$19.50	$46.77