Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $85.11 / $288.40	Facility		$41.69	$85.11	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $100.00	Facility		$18.62	$35.48	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $32.36	Professional		$16.98	$25.70	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $44.67 / $48.98	Facility		$28.84	$44.67	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $47.86 / $60.26	Professional		$23.44	$47.86	$60.26
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $69.18	Professional		$41.69	$41.69	$69.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $28.84	Facility		$14.79	$14.79	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.12 / $54.95	Professional		$16.60	$25.12	$54.95