Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $53.70	Professional		$41.69	$41.69	$53.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.02 / $54.95	Professional		$37.15	$38.02	$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 $51.29 / $60.26 / $251.19	Professional		$51.29	$60.26	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $39.81 / $39.81	Professional		$15.49	$39.81	$39.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $95.50	Professional		$54.95	$66.07	$95.50
Select Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $54.95 / $54.95	Professional		$53.70	$54.95	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $54.95	Professional		$20.89	$30.90	$54.95