Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $151.36 / $549.54	Facility		$70.79	$151.36	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $87.10 / $128.82	Professional		$61.66	$87.10	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $56.23	Professional		$45.71	$45.71	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $77.62 / $218.78	Facility		$40.74	$77.62	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $125.89	Professional		$45.71	$45.71	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $275.42	Facility		$60.26	$107.15	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $109.65 / $134.90	Professional		$45.71	$109.65	$134.90
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $91.20 / $141.25	Professional		$28.18	$91.20	$141.25
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $125.89	Professional		$38.90	$52.48	$125.89