Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $112.20 / $245.47	Facility		$83.18	$112.20	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $741.31	Professional		$81.28	$97.72	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $302.00	Professional		$61.66	$77.62	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $269.15	Facility		$89.13	$89.13	$269.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $100.00	Professional		$87.10	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72