Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $91.20 / $354.81	Facility		$48.98	$91.20	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $56.23	Professional		$34.67	$42.66	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $28.18	Professional		$24.55	$24.55	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $39.81 / $112.20	Facility		$20.89	$39.81	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $36.31	Professional		$23.44	$28.18	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $54.95 / $141.25	Facility		$30.90	$54.95	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $85.11	Professional		$33.88	$53.70	$85.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $46.77 / $75.86	Professional		$0.51	$46.77	$75.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Select Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $32.36 / $32.36	Facility		$16.60	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $66.07	Professional		$19.95	$28.18	$66.07