Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $112.20	Professional		$75.86	$97.72	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $102.33	Professional		$79.43	$95.50	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $102.33 / $316.23	Facility		$97.72	$102.33	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $158.49	Professional		$87.10	$87.10	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $97.72 / $97.72	Professional		$40.74	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $112.20	Professional		$97.72	$102.33	$112.20