Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $134.90 / $537.03	Facility		$64.57	$134.90	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $93.33	Professional		$52.48	$61.66	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $64.57	Professional		$28.84	$33.88	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $56.23 / $162.18	Facility		$30.20	$56.23	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $51.29	Professional		$33.11	$40.74	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $79.43 / $199.53	Facility		$46.77	$79.43	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $77.62 / $123.03	Professional		$48.98	$77.62	$123.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $67.61 / $109.65	Professional		$0.68	$67.61	$109.65
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $45.71 / $46.77	Facility		$23.44	$45.71	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $93.33	Professional		$28.18	$40.74	$93.33