Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $371.54 / $933.25	Facility		$131.83	$371.54	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $208.93	Professional		$120.23	$141.25	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $213.80	Professional		$123.03	$144.54	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $208.93 / $288.40	Facility		$114.82	$208.93	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $162.18 / $239.88	Professional		$91.20	$162.18	$239.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $107.15 / $147.91	Professional		$52.48	$107.15	$147.91
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $263.03	Professional		$77.62	$154.88	$263.03