Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $57.54	Facility		$46.77	$46.77	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $46.77	Professional		$16.22	$32.36	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $54.95	Professional		$38.02	$46.77	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Facility		$54.95	$54.95	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $38.90	Professional		$34.67	$34.67	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $36.31 / $42.66	Facility		$25.70	$36.31	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $40.74	Professional		$26.30	$26.30	$40.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $95.50	Professional		$30.90	$54.95	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $54.95	Professional		$47.86	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $41.69	Facility		$28.18	$28.18	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.67 / $50.12	Professional		$19.05	$34.67	$50.12