Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $512.86 / $512.86	Facility		$33.11	$512.86	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $91.20	Professional		$30.90	$39.81	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $31.62 / $33.11	Professional		$20.42	$31.62	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $34.67 / $104.71	Facility		$33.11	$34.67	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $33.11 / $33.11	Facility		$30.90	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $53.70	Professional		$29.51	$29.51	$53.70
Select Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $36.31	Professional		$29.51	$34.67	$36.31