Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $107.15 / $363.08	Facility		$50.12	$107.15	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $77.62	Professional		$48.98	$67.61	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $158.49	Facility		$28.84	$54.95	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $107.15	Professional		$32.36	$32.36	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $194.98	Facility		$42.66	$75.86	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $77.62 / $95.50	Professional		$32.36	$77.62	$95.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $66.07 / $100.00	Professional		$19.95	$66.07	$100.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $89.13	Professional		$27.54	$37.15	$89.13