Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $138.04 / $537.03	Facility		$56.23	$138.04	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $83.18	Professional		$50.12	$56.23	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $131.83	Professional		$32.36	$43.65	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $60.26 / $173.78	Facility		$32.36	$60.26	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $54.95	Professional		$28.84	$43.65	$54.95
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 / $42.66 / $104.71	Professional		$36.31	$42.66	$104.71
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $117.49	Professional		$72.44	$72.44	$117.49
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $39.81 / $50.12	Facility		$25.12	$39.81	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $93.33	Professional		$30.20	$43.65	$93.33