Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $128.82	Professional		$29.51	$48.98	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $56.23	Professional		$17.38	$21.38	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $41.69 / $77.62	Facility		$38.90	$41.69	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $77.62	Professional		$16.98	$28.18	$77.62
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $45.71 / $85.11	Professional		$14.79	$45.71	$85.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $93.33	Professional		$26.92	$52.48	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.90 / $60.26	Facility		$19.05	$38.90	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $32.36 / $70.79	Professional		$20.42	$32.36	$70.79