Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $77.62 / $389.05	Facility		$23.44	$77.62	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $77.62	Professional		$26.92	$52.48	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $89.13	Professional		$61.66	$70.79	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $95.50	Facility		$91.20	$91.20	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $63.10	Professional		$57.54	$57.54	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $58.88 / $70.79	Facility		$42.66	$58.88	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $58.88	Professional		$41.69	$43.65	$58.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $158.49	Professional		$50.12	$91.20	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $91.20	Professional		$77.62	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $63.10	Facility		$30.20	$45.71	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $57.54 / $81.28	Professional		$30.90	$57.54	$81.28