Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $676.08	Professional		$229.09	$257.04	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $218.78 / $257.04	Professional		$89.13	$218.78	$257.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $239.88 / $724.44	Facility		$223.87	$239.88	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $416.87	Professional		$229.09	$229.09	$416.87
Select Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $295.12	Professional		$257.04	$269.15	$295.12