Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $120.23 / $389.05	Facility		$57.54	$120.23	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $63.10 / $288.40	Professional		$47.86	$63.10	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $61.66 / $177.83	Facility		$32.36	$61.66	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $74.13	Professional		$30.20	$30.20	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $85.11 / $218.78	Facility		$47.86	$85.11	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $89.13 / $107.15	Professional		$36.31	$89.13	$107.15
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $74.13 / $112.20	Professional		$18.62	$74.13	$112.20
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Select Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Facility		$41.69	$41.69	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $83.18	Professional		$30.90	$34.67	$83.18