Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $87.10 / $109.65	Facility		$30.20	$87.10	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $60.26	Professional		$30.20	$32.36	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $18.20 / $28.84	Professional		$8.71	$18.20	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $31.62 / $95.50	Facility		$30.20	$31.62	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $56.23	Professional		$30.90	$30.90	$56.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $38.90	Professional		$33.88	$36.31	$38.90