Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $69.18 / $223.87	Facility		$32.36	$69.18	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $40.74	Professional		$15.85	$28.18	$40.74
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $77.62 / $87.10 / $87.10	Professional	CQ	$77.62	$87.10	$87.10
Ambetter Facility/Professional Professional Modifier CQ Low / Median / High Price $27.54 / $27.54 / $27.54	Professional	CQ	$27.54	$27.54	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $54.95 / $75.86	Professional		$26.30	$54.95	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $60.26 / $70.79	Facility		$54.95	$60.26	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $31.62 / $44.67	Professional		$23.44	$31.62	$44.67
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $40.74 / $58.88	Professional		$0.23	$40.74	$58.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $54.95	Professional		$0.23	$0.23	$54.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $37.15 / $39.81	Professional		$35.48	$37.15	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $47.86	Professional		$29.51	$39.81	$47.86